Provider Demographics
NPI:1952304149
Name:SNYDER, RICHARD W (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:W
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 602
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:610-865-5888
Mailing Address - Fax:610-865-1697
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 602
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:610-865-5888
Practice Address - Fax:610-865-1697
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS010324L207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1541950OtherGATEWAY HEALTH PLAN
001641103OtherHIGHMARK BLUE SHIELD
0000250965301OtherUNITED HEALTHCARE
NJ0067971Medicaid
000000165127OtherUNISON HEALTH PLAN
50042436OtherCAPITAL BLUE CROSS
20045401OtherAMERIHEALTH MERCY HEALTH
PA1011222070001Medicaid
90828OtherGEISINGER HEALTH PLAN
NJ0067971Medicaid
1541950OtherGATEWAY HEALTH PLAN
NJ096091Q79Medicare PIN
001641103OtherHIGHMARK BLUE SHIELD