| Loudoun Medical Group, Pc | |
|
5901 Kingstowne Village Parkway, Suite 300 Kingstowne VA 22315-5883 | |
| (571) 384-6304 | |
| (571) 384-6309 |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5901 Kingstowne Village Parkway, Suite 300, Kingstowne, 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 Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group, Pc 5901 Kingstowne Village Parkway, Suite 300 Kingstowne VA 22315-5883 Ph: (571) 384-6304 |
| NPI Number | 1841560299 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841560299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |