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20 Town Square, Suite 180 Lovettsville VA 20180-8558 | |
(540) 579-0500 | |
(540) 822-5036 |
Full Name | |
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Speciality | Family Medicine |
Location | 20 Town Square, Suite 180, Lovettsville, Virginia |
Authorized Official Name and Position | Mary Tamasy (CEO) |
Authorized Official Contact | 7037376012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | 20 Town Square, Suite 180 Lovettsville VA 20180-8558 Ph: (540) 579-0500 |
NPI Number | 1679024418 |
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Provider Enumeration Date | 10/17/2016 |
Last Update Date | 12/01/2023 |
Identifier | Type | State | Issuer |
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1679024418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |