Individual
DR. SUSAN GAIL SMIGOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26005 RIDGE RD, SUITE 200, DAMASCUS, MD 20872-1892
(301) 414-2300
(301) 414-2306
Mailing address
605 CROOKED CREEK DR, ROCKVILLE, MD 20850-5752
(301) 869-9196
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D31663
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
879301800
—
MD
Enumeration date
04/26/2006
Last updated
02/05/2016
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