Individual
VLAD A BAGDASARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 ADAMS AVE, PHILADELPHIA, PA 19120-2101
(215) 742-5333
(215) 742-5334
Mailing address
501 ADAMS AVE, PHILADELPHIA, PA 19120-2101
(215) 742-5333
(215) 742-5334
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008122
NY
Other
Enumeration date
12/01/2007
Last updated
06/22/2008
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