Individual
DR. COURTNEY R SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7602 CENTRAL AVE, STAPELEY BLDG SUITE 101, PHILA, PA 19111-2443
(215) 969-2900
(215) 969-1856
Mailing address
7602 CENTRAL AVE, STAPELEY BLDG SUITE 101, PHILA, PA 19111-2443
(215) 969-2900
(215) 969-1856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004056L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045870000
BLUE SHIELD
—
05
—
008525480001
—
PA
01
—
19590
AETNA
—
Enumeration date
08/17/2006
Last updated
02/11/2015
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