Individual
JUDITH GADOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8134 OLD KEENE MILL RD, SUITE 300, SPRINGFIELD, VA 22152-1800
(703) 451-6111
(703) 451-6247
Mailing address
8134 OLD KEENE MILL RD, SUITE 300, SPRINGFIELD, VA 22152-1800
(703) 451-6111
(703) 451-6247
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101030824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010140510
—
VA
01
—
22280007
CARE FIRST
VA
Enumeration date
03/14/2006
Last updated
12/03/2009
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