Provider Demographics
NPI:1871589259
Name:SNYDER, CHRISTOPHER ALFRED (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALFRED
Last Name:SNYDER
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-4525
Mailing Address - Country:US
Mailing Address - Phone:570-802-0102
Mailing Address - Fax:570-802-0104
Practice Address - Street 1:1016 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-4525
Practice Address - Country:US
Practice Address - Phone:570-802-0102
Practice Address - Fax:570-802-0104
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009236L207Q00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1981660OtherBLUE SHIELD
PA182546OtherBLUE SHIELD
PA182546OtherBLUE SHIELD
PA020349NZEMedicare ID - Type Unspecified