Organization · Type 2 NPI

Loudoun Medical Group, PC

Specialist · Alexandria, VA

NPI number 1487107587 Active

Practice location

6355 Walker Ln Ste 303, Suite 303
Alexandria, VA 22310-3247

Call (703) 751-5763 Map

Mailing address

PO Box 17334
Baltimore, MD 21297-1334

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Daniel Destefano, FNP-BCFamily Nurse Practitioner Alexandria, VA NPI 1497488423

Other specialist providers in Alexandria

See all in Alexandria →

NPI record

NPI: 1487107587
Entity type: Organization (Type 2)
Issued: Jul 26, 2016
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Digestive Disease Physicians · doing business as
Digestive Disease Physicians · 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.

Is this your record? How to update it.

About NPI 1487107587

Loudoun Medical Group, PC's National Provider Identifier is 1487107587, issued on Jul 26, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Alexandria, VA. The record was last updated on Aug 18, 2023.