Loudoun Medical Care And Wellness | |
19490 Sandridge Way, Suite 240 Leesburg VA 20176-3467 | |
(571) 223-5723 | |
(703) 724-0941 |
Full Name | Loudoun Medical Care And Wellness |
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Speciality | Internal Medicine |
Location | 19490 Sandridge Way, Suite 240, 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 |
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Loudoun Medical Care And Wellness 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Care And Wellness 19490 Sandridge Way, Suite 240 Leesburg VA 20176-3467 Ph: (571) 223-5723 |
NPI Number | 1083001663 |
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Provider Enumeration Date | 04/21/2015 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083001663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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