Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loudoun Medical Group, PC

Organization Dermatology Physician · NPI 1710001235

Loudoun Medical Group, PC is a Dermatology Physician in Leesburg, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19415 Deerfield Ave Ste 314
Leesburg, VA 20176-8472
Phone: (703) 723-7171
Fax: (703) 723-7176
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1710001235
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Loudoun Dermatology Associates; Loudoun Dermatology Associates
NPI enumeratedMarch 19, 2007
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-3346

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