LOUDOUN MEDICAL GROUP PC NPI 1144461930

NPI Information

NPI: 1144461930
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: METROPOLITAN ENT & FACIAL PLASTIC SURGERY

Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
6355 WALKER LANE
SUITE 308
ALEXANDRIA, VA
ZIP 22310
Phone: (703) 313-7700
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LOUDOUN MEDICAL GROUP, PC is a facial plastic surgery otolaryngology in Alexandria, VA. The provider is an otolaryngologist who specializes in facial plastic surgery. LOUDOUN MEDICAL GROUP, PC NPI is 1144461930. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Metropolitan Ent & Facial Plastic Surgery.

The provider's business location address is:

6355 WALKER LANE
SUITE 308
ALEXANDRIA, VA
ZIP 22310-247
Phone: (703) 313-7700
Fax: (703) 313-0178

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6010.

The enumeration date for this NPI number is 3/9/2009 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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