Healthcare Provider Details

I. General information

NPI: 1760659429
Provider Name (Legal Business Name): ADAM E SNIDERMAN VMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 E PALISADE AVE UNIT H
ENGLEWOOD NJ
07631-2273
US

IV. Provider business mailing address

133 E PALISADE AVE UNIT H
ENGLEWOOD NJ
07631
US

V. Phone/Fax

Practice location:
  • Phone: 201-450-4291
  • Fax: 973-895-4948
Mailing address:
  • Phone: 201-450-4291
  • Fax: 973-895-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number29VI00480900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: