VLAD A BAGDASARIAN


Address: 501 Adams Ave, Philadelphia, PA 19120-2101
Phone: 2157425333

VLAD A BAGDASARIAN (NPI# 1346422383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346422383
Entity Type Individual
Full Name VLAD A BAGDASARIAN
Practice Address 501 Adams Ave
Philadelphia
PA 19120-2101
Practice Telephone 2157425333
Practice Fax Number 2157425334
Mailing Telephone 2157425333
Mailing Fax Number 2157425334
Enumeration Date 2007-12-01
Last Update Date 2008-06-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
008122 NY Eye and Vision Services Providers

Office Location

Street Address 501 ADAMS AVE
City PHILADELPHIA
State PA
Zip Code 19120-2101

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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