Medical Practices of Antietam LLC

NPI #1194523738 in Frederick, Maryland

Provider Information

NPI Number: 1194523738
Entity Type: Organization
Organization Name: Medical Practices of Antietam LLC
Primary Specialty: Surgery
Enumeration Date: Mar 7, 2025
Last Updated: Mar 7, 2025

Practice Location

Address: 400 W 7TH ST
City: Frederick
State: Maryland
ZIP Code: 21701-4506
Phone: (301) 790-8000

Authorized Official

Name: JOSHUA REPAC
Title: CFO
Phone: (301) 790-9351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Surgery	208600000X	Primary

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