Medical Practices of Antietam, LLC
Medical Practices of Antietam, LLC provides General Practice Physician services in Hagerstown, Maryland. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11110 Medical Campus Rd Ste 229Hagerstown, MD 21742
Phone: (301) 665-4531
Fax: (301) 790-9103
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1558430843 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Repac — Cfo · (301) 790-9351 |
| NPI enumerated | November 8, 2006 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 11110 Medical Campus Road, Suite 229, Hagerstown, MD 21742 |
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