| NPI | 1962114801 |
|---|---|
| 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 | 207Y00000X Otolaryngology |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2023-08-18 |