Organization · Type 2 NPI

Loudoun Medical Group, PC

Otolaryngology Physician · Leesburg, VA

NPI number 1235253741 Active

Practice location

19465 Deerfield Avenue, Suite 301
Leesburg, VA 20176-1705

Call (703) 729-8080 Map

Fax (703) 729-1914

Mailing address

224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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NPI record

NPI: 1235253741
Entity type: Organization (Type 2)
Issued: Mar 19, 2007
Last updated: Apr 24, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Northern Virginia Ent Associates · doing business as
Northern Virginia Ent Associates · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6010

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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 1235253741

Loudoun Medical Group, PC's National Provider Identifier is 1235253741, issued on Mar 19, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Leesburg, VA. The record was last updated on Apr 24, 2023.