Provider Demographics
NPI:1104806470
Name:SNYDER, BARRY JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:JAMES
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-1367
Mailing Address - Country:US
Mailing Address - Phone:814-275-3320
Mailing Address - Fax:814-275-4413
Practice Address - Street 1:1323 BROOKVILLE ST
Practice Address - Street 2:
Practice Address - City:FAIRMOUNT CITY
Practice Address - State:PA
Practice Address - Zip Code:16224-1139
Practice Address - Country:US
Practice Address - Phone:814-275-3320
Practice Address - Fax:814-275-4413
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA026145E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015130590001Medicaid
PA393872OtherVERITUS
PA427705OtherMEDICARE
PA393872OtherVERITUS
PA1015130590001Medicaid