Healthcare Provider Details

I. General information

NPI: 1508028010
Provider Name (Legal Business Name): JAMES E SNYDER, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BUTTRICK RD SUITE 301
LONDONDERRY NH
03053-3417
US

IV. Provider business mailing address

6 BUTTRICK RD SUITE 301
LONDONDERRY NH
03053-3417
US

V. Phone/Fax

Practice location:
  • Phone: 603-425-6530
  • Fax: 603-434-9229
Mailing address:
  • Phone: 603-425-6530
  • Fax: 603-434-9229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number8724
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA363
License Number StateNH

VIII. Authorized Official

Name: MS. KIMBERLEE M PRENDERGAST
Title or Position: OFFICE MANAGER
Credential:
Phone: 603-425-6530