Provider Demographics
NPI:1386852648
Name:SNYDMAN, LAURA KATE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:KATE
Last Name:SNYDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:BOX 401
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-5400
Mailing Address - Fax:617-636-8848
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:BOX 401
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5400
Practice Address - Fax:617-636-8848
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231611207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine