Provider Demographics
NPI:1497976591
Name:SNYDER, ALLEN PERRY (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:PERRY
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3390 SAXONBURG BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3160
Mailing Address - Country:US
Mailing Address - Phone:412-767-0555
Mailing Address - Fax:412-767-0892
Practice Address - Street 1:ROUTE 10 BOX 10 ROUTE 119 SOUTH
Practice Address - Street 2:
Practice Address - City:GREENBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-837-8446
Practice Address - Fax:724-837-8533
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015724E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0642166Medicaid
C29610Medicare UPIN
PASN91733Medicare ID - Type Unspecified