| Medical Practices Of Antietam Llc | |
|
11110 Medical Campus Rd Ste 20 Hagerstown MD 21742-6700 | |
| (301) 790-9072 | |
| Not Available |
| Full Name | Medical Practices Of Antietam Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11110 Medical Campus Rd Ste 20, Hagerstown, Maryland |
| Authorized Official Name and Position | Joshua Repac (CFO) |
| Authorized Official Contact | 3017909351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Practices Of Antietam Llc 11116 Medical Campus Rd Hagerstown MD 21742-6710 Ph: () - | Medical Practices Of Antietam Llc 11110 Medical Campus Rd Ste 20 Hagerstown MD 21742-6700 Ph: (301) 790-9072 |
| NPI Number | 1760280408 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760280408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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