Provider Demographics
NPI:1578637674
Name:SNYDER, STEVEN BARRY (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BARRY
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 1:10220 SOUTH DOLFIELD ROAD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3660
Mailing Address - Country:US
Mailing Address - Phone:410-356-0000
Mailing Address - Fax:410-356-4589
Practice Address - Street 1:10220 SOUTH DOLFIELD ROAD
Practice Address - Street 2:SUITE #110
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3660
Practice Address - Country:US
Practice Address - Phone:410-356-0000
Practice Address - Fax:410-356-4589
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0027262207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD8072OtherCAREFIRST BLUE SHIELD
DCR8530001OtherBLUE SHIELD GOVT
DCR8530001OtherBLUE SHIELD GOVT
MD8072OtherCAREFIRST BLUE SHIELD