| Loudoun Medical Group, Pc | |
|
46169 Westlake Drive, Suite 200 Sterling VA 20165-5875 | |
| (703) 378-1734 | |
| (703) 782-8832 |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 46169 Westlake Drive, Suite 200, 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 |
|---|---|
| Loudoun Medical Group, Pc 224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group, Pc 46169 Westlake Drive, Suite 200 Sterling VA 20165-5875 Ph: (703) 378-1734 |
| NPI Number | 1194448753 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194448753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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