| Dulles Medical Group | |
|
21495 Ridgetop Circle, Ste 302 Sterling VA 20166-6512 | |
| (703) 430-6600 | |
| (703) 779-0887 |
| Full Name | Dulles Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 21495 Ridgetop Circle, Ste 302, Sterling, 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 |
|---|---|
| Dulles Medical Group 224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Dulles Medical Group 21495 Ridgetop Circle, Ste 302 Sterling VA 20166-6512 Ph: (703) 430-6600 |
| NPI Number | 1265788038 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265788038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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