Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC001302L | PA |
NPI | 1528093994 |
---|---|
Provider Name | Dr. Robert M Snyder |
First Address | Philadelphia, PA 19152-1548 |
Second Address | Philadelphia, PA 19152-1548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 17/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0821407 | (05) | PA |
100886 | KEYSTONE MERCY (01) | PA |
32526 | HEALTH PARTNERS (01) | PA |
T27425 | (02) |