| Loudoun Medical Group, Pc | |
|
3 E Broad Way Lovettsville VA 20180-8611 | |
| (540) 579-0500 | |
| (540) 822-5036 |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 E Broad Way, Lovettsville, 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 224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group, Pc 3 E Broad Way Lovettsville VA 20180-8611 Ph: (540) 579-0500 |
| NPI Number | 1033456447 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033456447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Town Square, Suite 180, Lovettsville, VA 20180 Phone: 540-579-0500 Fax: 540-822-5036 |