Provider Demographics
NPI:1235225772
Name:SNYDER RANDHAWA, LLC
Entity Type:Organization
Organization Name:SNYDER RANDHAWA, LLC
Other - Org Name:PRIMARY CARE CENTER @ HILLSBOROUGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-874-5316
Mailing Address - Street 1:649 US HIGHWAY 206
Mailing Address - Street 2:SUITE 20
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1520
Mailing Address - Country:US
Mailing Address - Phone:908-874-6700
Mailing Address - Fax:908-874-5069
Practice Address - Street 1:649 US HIGHWAY 206
Practice Address - Street 2:SUITE 20
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1520
Practice Address - Country:US
Practice Address - Phone:908-874-6700
Practice Address - Fax:908-874-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty