Medical Practices of Antietam LLC
Medical Practices of Antietam LLC provides Sports Medicine (Emergency Medicine) Physician services in Hagerstown, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17301 Valley Mall Rd Ste 125Hagerstown, MD 21740-6966
Phone: (301) 790-9237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Emergency Medicine) Physician (primary) | Taxonomy 207PS0010X |
|---|
Record details
| NPI number | 1265275341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Repac — Cfo · (301) 790-9351 |
| NPI enumerated | June 17, 2024 |
| Last updated in NPPES | June 17, 2024 |
| Certification date | June 17, 2024 |
| Mailing address | 17301 Valley Mall Rd Ste 125, Hagerstown, MD 21740-6966 |
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