Provider Demographics
NPI:1760659429
Name:SNIDERMAN, ADAM E (VMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:E
Last Name:SNIDERMAN
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E PALISADE AVE
Mailing Address - Street 2:UNIT H
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-450-4291
Mailing Address - Fax:973-895-4948
Practice Address - Street 1:133 E PALISADE AVE
Practice Address - Street 2:UNIT H
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2273
Practice Address - Country:US
Practice Address - Phone:201-450-4291
Practice Address - Fax:973-895-4948
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00480900174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian