| Doctor Name: | DR. SUSAN GAIL SMIGOCKI |
| NPI Number: | 1225094386 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | D31663 |
| Business Practice Address: | 26005 Ridge Rd Suite 200 Damascus, MD - 208721892 |
| Business Phone Number: | 3014142300 |
| Business Fax Number: | 3014142306 |
| Mailing Address: | 605 Crooked Creek Dr, ROCKVILLE |
| State: | MD |
| Postal Code: | 208505752 |
| Phone Number: | 3018699196 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | D31663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |