Healthcare Provider Details

I. General information

NPI: 1962651802
Provider Name (Legal Business Name): OB GYN HOSPITALISTS OF LOUDOUN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44055 RIVERSIDE PKWY SUITE 234
LEESBURG VA
20176-5179
US

IV. Provider business mailing address

PO BOX 759244
BALTIMORE MD
21275-9244
US

V. Phone/Fax

Practice location:
  • Phone: 703-858-8100
  • Fax: 703-858-8108
Mailing address:
  • Phone: 330-470-3700
  • Fax: 330-497-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID L. JOYCE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 866-885-5522