| Loudoun Medical Group, Pc | |
|
19415 Deerfield Ave Suite 310 Leesburg VA 20176-8425 | |
| (703) 726-6393 | |
| (703) 726-6394 |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 19415 Deerfield Ave Suite 310, Leesburg, Virginia |
| Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Medical Group, Pc 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group, Pc 19415 Deerfield Ave Suite 310 Leesburg VA 20176-8425 Ph: (703) 726-6393 |
| NPI Number | 1124450408 |
|---|---|
| Provider Enumeration Date | 08/08/2013 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124450408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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