MEDICARE: DANIEL E. SNOW, M.D., GAITHERSBURG FAMILY PRACITCE, PC

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	D0045533	MD

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

General Provider Information

NPI Number	:	1750598454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL E. SNOW, M.D., GAITHERSBURG FAMILY PRACITCE, PC

Provider Business Mailing Address
First Line	:	15001 DUFIEF MILL RD
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878-2599
Country	:	US
Telephone Number	:	301-251-9503
Fax Number	:

Provider Business Practice Location Address
First Line	:	15001 DUFIEF MILL RD
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878-2599
Country	:	US
Telephone Number	:	301-251-9503
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BETH E JOHNSON
Credential	:
Telephone Number	:	301-251-9503

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	03/03/2008

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