Dr SUZANNE M GONGLOFF is a female medical professional, specializing in Physician Assistant. She graduated in 2002.
SELMA MEDICAL ASSOC INC
104 SELMA DR
WINCHESTER
VA
226013834
Tel: 5405426106
| Npi | 1477532935 |
| Pac Id | 8921133877 |
| Professional Enrollment Id | I20100317000185 |
| Last Name | GONGLOFF |
| First Name | SUZANNE |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | SELMA MEDICAL ASSOC INC |
| Group Practice Pac Id | 5092618611 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 104 SELMA DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WINCHESTER |
| State | VA |
| Zip Code | 226013834 |
| Phone Number | 5405426106 |
| Hospital Affiliation Ccn 1 | 490005 |
| Hospital Affiliation Lbn 1 | WINCHESTER MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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