Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | H44532 | MD |
NPI | 1033152103 |
---|---|
Provider Name | Jack L Snitzer |
First Address | Salisbury, MD 21804-7232 |
Second Address | Salisbury, MD 21804-7232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 24/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
447331100 | (05) | MD |
F21053 | (02) | MD |