Smigocki, Susan Gail

Smigocki, Susan Gail is an individual health care provider with primary practice located at 26005 Ridge Rd Suite 200, Damascus MD 20872-1892. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Smigocki, Susan Gail can be contacted via phone (301) 414-2300.

Contact Information

Primary practice address
26005 Ridge Rd Suite 200 Damascus MD 20872-1892
Fax: (301) 414-2306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D31663 Maryland

Profile Details

NPI number 1225094386
LBN Legal business name Smigocki, Susan Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225094386 NPPES
Maryland MEDICAID 879301800

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