| Loudoun Medical Group Pc, 'd' | |
|
200 North Maple Avenue Purcellville VA 20132-6602 | |
| (703) 737-6010 | |
| Not Available |
| Full Name | Loudoun Medical Group Pc, 'd' |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 North Maple Avenue, Purcellville, 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 |
|---|---|
| Loudoun Medical Group Pc, 'd' 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group Pc, 'd' 200 North Maple Avenue Purcellville VA 20132-6602 Ph: (703) 737-6010 |
| NPI Number | 1902518830 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902518830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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