Dulles Medical Group | |
21495 Ridgetop Circle, Ste 302 Sterling VA 20166-6512 | |
(703) 430-6600 | |
(703) 779-0887 |
Full Name | Dulles Medical Group |
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Speciality | Internal Medicine |
Location | 21495 Ridgetop Circle, Ste 302, Sterling, 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 21495 Ridgetop Circle, Ste 302 Sterling VA 20166-6512 Ph: (703) 430-6600 |
NPI Number | 1265788038 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265788038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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