Provider Demographics
NPI:1154501351
Name:STUART R SNYDER PA
Entity Type:Organization
Organization Name:STUART R SNYDER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:R
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-762-3338
Mailing Address - Street 1:10810 DARNESTOWN RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2675
Mailing Address - Country:US
Mailing Address - Phone:301-762-3338
Mailing Address - Fax:301-762-1585
Practice Address - Street 1:10810 DARNESTOWN RD
Practice Address - Street 2:SUITE #101
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-2675
Practice Address - Country:US
Practice Address - Phone:301-762-3338
Practice Address - Fax:301-762-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00614213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD256468800Medicaid
MDT30844Medicare UPIN
MD256468800Medicaid
MD0819560001Medicare NSC