Healthcare Provider Details

I. General information

NPI: 1659953628
Provider Name (Legal Business Name): SEAN BENJAMIN SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD STE 406
JEFFERSON HILLS PA
15025-3703
US

IV. Provider business mailing address

565 COAL VALLEY RD STE 406
JEFFERSON HILLS PA
15025-3703
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-5000
  • Fax: 412-469-7174
Mailing address:
  • Phone: 412-469-5000
  • Fax: 412-469-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD482782
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: