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Individual

AMY SNYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD12721
RI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD12721
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001400473
CT
Enumeration date
09/06/2006
Last updated
03/06/2024
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