Individual
DR. KRISTINA A BAGDASARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 LINCOLN HWY STE 12, FAIRLESS HILLS, PA 19030-1011
(718) 614-2005
Mailing address
8354 BUSTLETON AVE, PHILADELPHIA, PA 19152-1909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002492
PA
152W00000X
Optometrist
TUV007692
NY
152WC0802X
Corneal and Contact Management Optometrist
OEG002492
PA
152WC0802X
Corneal and Contact Management Optometrist
TUV007692
NY
Other
Enumeration date
07/01/2011
Last updated
02/11/2016
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