Medical Practices of Antietam LLC
NPI #1336947977 in Williamsport, Maryland
Provider Information
- NPI Number
- 1336947977
- Entity Type
- Organization
- Organization Name
- Medical Practices of Antietam LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 7, 2025
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 3 BYRKIT DR
- City
- Williamsport
- State
- Maryland
- ZIP Code
- 21795-1171
- Phone
- (301) 582-1150
Authorized Official
- Name
- JOSHUA REPAC
- Title
- CFO
- Phone
- (301) 790-9351
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Family Medicine |
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