| NPI | 1588376321 |
|---|---|
| Doing Business As | LOUDOUN MEDICAL GROUP, PC "D" |
| Entity Type | Organization |
| Authorized Contact | MARY BETH TAMASY CEO 703-737-6010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |