Provider Demographics
NPI:1245208958
Name:SNYDER, ALLAN ROBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ROBERT
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 G ST RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966
Mailing Address - Country:US
Mailing Address - Phone:215-322-7060
Mailing Address - Fax:215-322-0663
Practice Address - Street 1:57 ST RD
Practice Address - Street 2:SUITE G
Practice Address - City:SOUTH HAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966
Practice Address - Country:US
Practice Address - Phone:215-322-7060
Practice Address - Fax:215-322-0663
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003162L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006129170001Medicaid
C32596Medicare UPIN
PA0006129170001Medicaid