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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