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1972633204

NPI Code Detail

MEDICARE: DR. MARY CATHARINE SNEIDER D.O.

MEDICARE: DR. MARY CATHARINE SNEIDER D.O.

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	207Q00000X	Family Medicine Physician	OS014769	PA
2	207Q00000X	Family Medicine Physician	C2-0008220	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	164805WNU	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972633204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY CATHARINE SNEIDER D.O.

Provider Business Mailing Address
First Line	:	6481 CARLISLE PIKE
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-2377
Country	:	US
Telephone Number	:	717-516-6396
Fax Number	:	717-620-8093

Provider Business Practice Location Address
First Line	:	6481 CARLISLE PIKE
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17050-2377
Country	:	US
Telephone Number	:	717-516-6396
Fax Number	:	717-620-8093

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	12/19/2020

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Directions to “ DR. MARY CATHARINE SNEIDER D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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