NPI 1508990110

Loudoun Medical Group, PC

Organisation Family Medicine Physician Sterling, VA

Practice location

Address: 46440 Benedict Drive, Suite 107, Sterling, VA 20164-6602
Phone: (703) 450-1125
Fax: (703) 450-1145
Mailing address: 224-D Cornwall Street, NW, Suite 403, Leesburg, VA 20176-2704

Authorised official

Name: Mary Beth Tamasy
Title: Ceo
Phone: (703) 737-6010

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Virginia →

Registry record

NPI: 1508990110
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 24 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.