MEDICARE: DR. DAVID LEE SNYDER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD025294E	PA
2	2084P0800X	Psychiatry Physician	MA04403100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	818301	OTHER	PA	HEALTHPASS #
3	001665185	OTHER	NJ	BC-PERSONAL CHOICE #
4	353678	OTHER	PA	BLUE SHIELD #
5	1314367	OTHER	PA	FIRST HEALTH #
6	260035938	OTHER	NJ	RAILROAD/FEDERAL #
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750387718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LEE SNYDER M.D.

Provider Business Mailing Address
First Line	:	108 RAMBLEWOOD RD
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-2628
Country	:	US
Telephone Number	:	856-296-9407
Fax Number	:	856-727-9337

Provider Business Practice Location Address
First Line	:	108 RAMBLEWOOD RD
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-2628
Country	:	US
Telephone Number	:	856-296-9407
Fax Number	:	856-727-9337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	05/24/2021

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Directions to “ DR. DAVID LEE SNYDER M.D.” Practice Location

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