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Individual

DR. GLORIA BERNADETTE GOGOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5351 LINCOLN HWY, SUITE 2, GAP, PA 17527-9468
(717) 442-1300
(717) 442-1064
Mailing address
8 FRIENDSHIP WAY, PARKESBURG, PA 19365-9171
(717) 442-1300
(717) 442-1064

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000541
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2651259
AETNA
PA
01
381737
HIGHMARK
PA
01
397049
NVA
PA
01
EC19251
SPECTERA
PA
01
PA08206
VBA
PA
Enumeration date
09/13/2006
Last updated
07/09/2007
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