Provider Demographics
NPI:1184807067
Name:SNEEDEN, CYNTHIA W (PA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:W
Last Name:SNEEDEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:263 MAIN ST
Mailing Address - Street 2:BOX 128
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3620
Mailing Address - Country:US
Mailing Address - Phone:908-534-2249
Mailing Address - Fax:908-534-6634
Practice Address - Street 1:263 MAIN ST
Practice Address - Street 2:BOX 128
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3620
Practice Address - Country:US
Practice Address - Phone:908-534-2249
Practice Address - Fax:908-534-6634
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00047200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant