Medical Practices of Antietam LLC
Medical Practices of Antietam LLC provides Family Medicine Physician services in Hagerstown, Maryland. Registered with an NPI since 2025.
- In the registry since
- 2025
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) 790-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1629968086 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Repac — Cfo · (301) 790-9351 |
| NPI enumerated | July 8, 2025 |
| Last updated in NPPES | July 8, 2025 |
| Certification date | July 8, 2025 |
| Mailing address | 17301 Valley Mall Rd Ste 125, Hagerstown, MD 21740-6966 |
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