# PREMIER OB/GYN ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Care OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083103592
- **Authorized official:** DR. DAVID AFRAM MD (MANAGING PARTNER)
- **Authorized official phone:** (202) 258-2580

## Contact information

- **Practice address:** 3700 JOSEPH SIEWICK DR STE 102, FAIRFAX, VA 22033-1737
- **Practice address phone:** (202) 258-2580
- **Mailing address:** 11118 SWEETWOOD LN, OAKTON, VA 22124-1340
- **Mailing address phone:** (202) 258-2580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101242511 | VA | Yes |

## Other

- **Enumeration date:** 05/09/2018
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101242511 | MEDICAL LICENCE | VA |
| 05 | — | 1295938751 | — | VA |