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Individual

DR. JENNIFER BAGDADY DAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8136 OLD KEENE MILL RD STE B300, SPRINGFIELD, VA 22152-1856
(703) 451-6111
(703) 451-6247
Mailing address
8136 OLD KEENE MILL RD STE B300, SPRINGFIELD, VA 22152-1856
(703) 451-6111
(703) 451-6247

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101252410
VA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
0101252410
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54-1168250
TAX ID
Enumeration date
06/18/2009
Last updated
03/04/2026
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