Provider Demographics
NPI:1891775532
Name:SNYDER, MARTIN LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:LEWIS
Last Name:SNYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 MILL STONE RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4345
Mailing Address - Country:US
Mailing Address - Phone:757-482-8747
Mailing Address - Fax:
Practice Address - Street 1:U.S.FLEET FORCES COMMAND-COMMAND SURGEON
Practice Address - Street 2:1562 MITSCHER AVE SUITE 250
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23551-0001
Practice Address - Country:US
Practice Address - Phone:757-836-5515
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0261982086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery