Individual
DR. RICHARD K GONGLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3436 WILLIAM PENN HWY, BUILDING 2, SUITE 166, PITTSBURGH, PA 15235-5411
(412) 823-6222
Mailing address
3436 WILLIAM PENN HWY, BUILDING 2, SUITE 166, PITTSBURGH, PA 15235-5411
(412) 823-6222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD067474L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001754130
—
PA
Enumeration date
02/13/2006
Last updated
10/27/2011
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