Basic Information
| Provider Information | |||||||||
| NPI: | 1609161322 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SNEPAR | ||||||||
| FirstName: | RORY | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 478 BRICK BLVD | ||||||||
| Address2: | |||||||||
| City: | BRICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087236077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327014848 | ||||||||
| FaxNumber: | 7327011244 | ||||||||
| Practice Location | |||||||||
| Address1: | 478 BRICK BLVD | ||||||||
| Address2: | |||||||||
| City: | BRICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087236077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327014848 | ||||||||
| FaxNumber: | 7327011244 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2011 | ||||||||
| LastUpdateDate: | 12/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 25MB09823800 | NJ | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.