Organization · Type 2 NPI

Loudoun Medical Group, PC

Specialist · Dulles, VA

NPI number 1750828703 Active

Practice location

24430 Stone Springs Blvd
Dulles, VA 20166-2247

Call (703) 737-6012 Map

Mailing address

224D Cornwall St NW, Suite 403
Leesburg, VA 20176-2700

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.

20 other providers at this address

Other specialist providers in Dulles

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NPI record

NPI: 1750828703
Entity type: Organization (Type 2)
Issued: Jan 30, 2017
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

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Northern Virginia Ent Associates · doing business as
Northern Virginia Ent Associates · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6012

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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 1750828703

Loudoun Medical Group, PC's National Provider Identifier is 1750828703, issued on Jan 30, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dulles, VA. The record was last updated on Aug 18, 2023.