| NPI | 1962276774 |
|---|---|
| Doing Business As | LOUDOUN MEDICAL GROUP, PC DOL |
| Entity Type | Organization |
| Authorized Contact | MARY BETH TAMASY CEO 703-737-6010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |