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Organization
MAIN STREET EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization
MAIN STREET EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization
Contact information
Practice address
2601 E CHAPMAN AVE, ORANGE, CA 92869-3206
(714) 633-0011
Mailing address
PO BOX 1409, ARCADIA, CA 91077-1409
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
07/04/2014
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