Basic Information
Provider Information
NPI: 1801887278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SNYDER
FirstName: JOHN
MiddleName: EATON
NamePrefix: DR.
NameSuffix: JR.
Credential: MD, MS, MPH (FACP)
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1627 EYE STREET NW
Address2: SUITE 800
City: WASHINGTON
State: DC
PostalCode: 20006
CountryCode: US
TelephoneNumber: 2026600015
FaxNumber: 2026600025
Practice Location
Address1: 1501 M ST NW STE 450
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200051726
CountryCode: US
TelephoneNumber: 2022047092
FaxNumber: 2026600025
Other Information
ProviderEnumerationDate: 11/03/2005
LastUpdateDate: 08/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD040177DCY Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X200501641NCN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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