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Organization
WOMEN'S CHOICE OBGYN LLC
Active
Organization
WOMEN'S CHOICE OBGYN LLC
Active
Other names
Main Street OBGyn
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRA ZAMENI MD (MANAGING MEMBER)
(703) 218-2403
Entity
Organization
Contact information
Practice address
10875 MAIN ST STE 210, FAIRFAX, VA 22030-4732
(703) 665-8248
(703) 665-8248
Mailing address
4019 VERRET DR, FAIRFAX, VA 22030-6095
(703) 218-2403
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101261606
VA
Other
Enumeration date
03/02/2018
Last updated
01/20/2023
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