MEDICARE: DANIEL EDWARD SNOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D45533	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609876481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL EDWARD SNOW MD

Provider Business Mailing Address
First Line	:	10016 KENDALE RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4256
Country	:	US
Telephone Number	:	301-251-9503
Fax Number	:	301-340-8187

Provider Business Practice Location Address
First Line	:	15001 DUFIEF MILL RD
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878-2599
Country	:	US
Telephone Number	:	301-251-9503
Fax Number	:	301-340-8187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	09/28/2021

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