OrganizationActive
Loudoun Medical Group, PC
NPI 1356465769 · MOHS-Micrographic Surgery Physician · Leesburg, VA
Provider details
- NPI number
- 1356465769
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Loudoun Medical Group, PC
- Authorized official
- Mary Beth Tamasy, Ceo
Practice location
19465 Deerfield Avenue, Suite 401
Leesburg, VA 20176-1707
Phone: (703) 723-5700
Fax: (703) 723-5778
Mailing address
224-D Cornwall Street, Nw, Suite 403
Leesburg, VA 20176-2704
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.