Organization
PREMIER OB/GYN ASSOCIATES LLC
Active
Other names
Modern Care OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AFRAM MD (MANAGING PARTNER)
(202) 258-2580
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 102, FAIRFAX, VA 22033-1737
(202) 258-2580
Mailing address
11118 SWEETWOOD LN, OAKTON, VA 22124-1340
(202) 258-2580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101242511
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101242511
MEDICAL LICENCE
VA
05
—
1295938751
—
VA
Enumeration date
05/09/2018
Last updated
03/07/2023
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