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Contact Information

LOUDOUN MEDICAL GROUP, PC
19465 DEERFIELD AVENUE, SUITE 401
LEESBURG, VA20176-1707
 Phone: 703-723-5700
 Fax: 703-723-5778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LOUDOUN MEDICAL GROUP, PC

NPI Number 1356465769
LBN Legal business name LOUDOUN MEDICAL GROUP, PC
Authorized official MARY BETH TAMASY - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/19/2007
Last updated 04/24/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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