| NPI | 1215439526 |
|---|---|
| Doing Business As | MAIN STREET OBGYN |
| Entity Type | Organization |
| Authorized Contact | MITRA ZAMENI Managing Member 703-218-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101261606) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-01-20 |