Healthcare Provider Details

I. General information

NPI: 1689678658
Provider Name (Legal Business Name): CHRISTOPHER H SNYDER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 07/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 E RIDLEY AVE
RIDLEY PARK PA
19078-3024
US

IV. Provider business mailing address

450 PARK WAY SUITE 300
BROOMALL PA
19008-4202
US

V. Phone/Fax

Practice location:
  • Phone: 610-532-8777
  • Fax: 610-532-1129
Mailing address:
  • Phone: 484-422-8080
  • Fax: 484-422-8073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS003868L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: