Medical Practices of Antietam LLC
NPI #1124826862 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1124826862
- Entity Type
- Organization
- Organization Name
- Medical Practices of Antietam LLC
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Mar 7, 2025
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 11110 MEDICAL CAMPUS RD STE 249
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21742-6756
- Phone
- (301) 790-8750
Authorized Official
- Name
- JOSHUA REPAC
- Title
- CFO
- Phone
- (301) 790-9351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nuclear Medicine |
| General Practice |
| Neurological Surgery |
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