Medical Practices of Antietam LLC

NPI #1356149991 in Williamsport, Maryland

Provider Information

NPI Number: 1356149991
Entity Type: Organization
Organization Name: Medical Practices of Antietam LLC
Primary Specialty: General Practice
Enumeration Date: Mar 7, 2025
Last Updated: Mar 7, 2025

Practice Location

Address: 16505 VIRGINIA AVE
City: Williamsport
State: Maryland
ZIP Code: 21795-1321
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	Primary

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