Organization · Type 2 NPI

Loudoun Medical Group, PC

Hematology & Oncology Physician · Leesburg, VA

NPI number 1093339764 Active

Practice location

19500 Sandridge Way Ste 400
Leesburg, VA 20176-3691

Call (703) 723-5700 Map

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Other hematology & oncology physician providers in Leesburg

Cancer and Blood Center PLLCHematology & Oncology Physician Leesburg, VA NPI 1558265926

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NPI record

NPI: 1093339764
Entity type: Organization (Type 2)
Issued: May 29, 2020
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

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Skin Cancer Center of Northern Virginia · doing business as
Skin Cancer Center of Northern Virginia · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6010

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093339764

Loudoun Medical Group, PC's National Provider Identifier is 1093339764, issued on May 29, 2020. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Leesburg, VA. The record was last updated on Aug 18, 2023.