Provider Demographics
NPI:1346001476
Name:DAGHER, ABIGALE COLETTE (MED)
Entity Type:Individual
Prefix:
First Name:ABIGALE
Middle Name:COLETTE
Last Name:DAGHER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 MAIN ST APT 2093
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBRG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7382
Mailing Address - Country:US
Mailing Address - Phone:703-966-1414
Mailing Address - Fax:
Practice Address - Street 1:450 SOLOMON DR STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-1329
Practice Address - Country:US
Practice Address - Phone:540-402-1199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health