Healthcare Provider Details

I. General information

NPI: 1043148653
Provider Name (Legal Business Name): GENERATIONAL MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CUMMINGS CTR STE 4700
BEVERLY MA
01915-6520
US

IV. Provider business mailing address

7 PARSONAGE LN
TOPSFIELD MA
01983-1312
US

V. Phone/Fax

Practice location:
  • Phone: 978-579-2444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN SNYDER
Title or Position: OWNER
Credential: MD
Phone: 508-954-8062