Healthcare Provider Details

I. General information

NPI: 1871589259
Provider Name (Legal Business Name): CHRISTOPHER ALFRED SNYDER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 W FRONT ST
BERWICK PA
18603-4525
US

IV. Provider business mailing address

1016 W FRONT ST
BERWICK PA
18603-4525
US

V. Phone/Fax

Practice location:
  • Phone: 570-802-0102
  • Fax: 570-802-0104
Mailing address:
  • Phone: 570-802-0102
  • Fax: 570-802-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS009236L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberOS009236L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: