Healthcare Provider Details

I. General information

NPI: 1811965379
Provider Name (Legal Business Name): JAMES E SNYDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PILLSBURY ST
CONCORD NH
03301-3523
US

IV. Provider business mailing address

2 PILLSBURY ST
CONCORD NH
03301-3523
US

V. Phone/Fax

Practice location:
  • Phone: 603-229-5099
  • Fax:
Mailing address:
  • Phone: 603-229-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number8724
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: