Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medical Practices of Antietam LLC

Organization Gastroenterology Physician · NPI 1982413811

Medical Practices of Antietam LLC provides Gastroenterology 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.

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Practice location Address checks out

11110 Medical Campus Rd Ste 246
Hagerstown, MD 21742-6756
Phone: (301) 665-4585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1982413811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address11110 Medical Campus Rd Ste 246, Hagerstown, MD 21742-6756

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