Healthcare Provider Details

I. General information

NPI: 1578637674
Provider Name (Legal Business Name): STEVEN BARRY SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10220 SOUTH DOLFIELD ROAD SUITE #110
OWINGS MILLS MD
21117-3660
US

IV. Provider business mailing address

10220 SOUTH DOLFIELD ROAD SUITE #110
OWINGS MILLS MD
21117-3660
US

V. Phone/Fax

Practice location:
  • Phone: 410-356-0000
  • Fax: 410-356-4589
Mailing address:
  • Phone: 410-356-0000
  • Fax: 410-356-4589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0027262
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: