Provider Demographics
NPI:1609876481
Name:SNOW, DANIEL EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:EDWARD
Last Name:SNOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10016 KENDALE RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4256
Mailing Address - Country:US
Mailing Address - Phone:301-251-9503
Mailing Address - Fax:301-340-8187
Practice Address - Street 1:15001 DUFIEF MILL RD
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-2599
Practice Address - Country:US
Practice Address - Phone:301-251-9503
Practice Address - Fax:301-340-8187
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD45533207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD335151300Medicaid
DC027433300Medicaid
MD335151300Medicaid
DC027433300Medicaid