Provider Demographics
NPI:1578654042
Name:SNYDER, STUART R (DPM)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:R
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10810 DARNESTOWN RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2675
Mailing Address - Country:US
Mailing Address - Phone:301-762-3338
Mailing Address - Fax:301-762-1585
Practice Address - Street 1:10810 DARNESTOWN RD
Practice Address - Street 2:# 101
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878
Practice Address - Country:US
Practice Address - Phone:301-762-3338
Practice Address - Fax:301-762-1585
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD00641213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC38370001OtherCAREFIRST
MD256468800Medicaid
MD256468800Medicaid
DC00B239S18Medicare UPIN