Provider Demographics
NPI:1932598414
Name:SNYDER, ROBERT PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:SNYDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:399 SPAULDING RD
Mailing Address - Street 2:
Mailing Address - City:PENN RUN
Mailing Address - State:PA
Mailing Address - Zip Code:15765-8633
Mailing Address - Country:US
Mailing Address - Phone:412-841-1994
Mailing Address - Fax:
Practice Address - Street 1:625 RUSTIC LODGE RD
Practice Address - Street 2:SUITE B
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3440
Practice Address - Country:US
Practice Address - Phone:724-463-3720
Practice Address - Fax:724-463-6111
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009746L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH21058Medicare UPIN