| Medical Practices Of Antietam Llc | |
|
22911 Jefferson Blvd Smithsburg MD 21783-1617 | |
| (301) 824-3343 | |
| Not Available |
| Full Name | Medical Practices Of Antietam Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 22911 Jefferson Blvd, Smithsburg, 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 22911 Jefferson Blvd Smithsburg MD 21783-1617 Ph: (301) 824-3343 |
| NPI Number | 1508664145 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508664145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Stephen S. Lippman, M.d., Ph.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13538 Edgemont Rd, Smithsburg, MD 21783 Phone: 301-992-6301 |