Organization · Type 2 NPI

Loudoun Medical Group, PC

Plastic Surgery Physician · Reston, VA

NPI number 1457646606 Active

Practice location

1860 Town Center Dr, Suite 340
Reston, VA 20190-5896

Call (703) 858-3208 Map

Fax (703) 547-9984

Mailing address

PO Box 17334
Baltimore, MD 21297-1334

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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NPI record

NPI: 1457646606
Entity type: Organization (Type 2)
Issued: Jun 16, 2011
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

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Mountcastle Plastic Surgery and Vein Institute · doing business as
Mountcastle Plastic Surgery and Vein Institute · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6010

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About NPI 1457646606

Loudoun Medical Group, PC's National Provider Identifier is 1457646606, issued on Jun 16, 2011. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Reston, VA. The record was last updated on Aug 18, 2023.