Individual
JEROME SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3817 THOROUGHBRED LN, OWINGS MILLS, MD 21117-1213
(410) 356-4483
(904) 805-1302
Mailing address
PO BOX 827426, PHILADELPHIA, PA 19182-7426
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D22648
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327461600
—
MD
01
—
60609101
BLUE CROSS
MD
01
—
P00168846
RAILROAD MEDICARE
MD
Enumeration date
06/12/2006
Last updated
05/20/2013
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