| Dulles Medical Group | |
|
224d Cornwall St., Nw, Suite 303 Leesburg VA 20176-2704 | |
| (703) 777-8840 | |
| (703) 779-0887 |
| Full Name | Dulles Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 224d Cornwall St., Nw, Suite 303, Leesburg, Virginia |
| Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulles Medical Group 224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Dulles Medical Group 224d Cornwall St., Nw, Suite 303 Leesburg VA 20176-2704 Ph: (703) 777-8840 |
| NPI Number | 1245586015 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245586015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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