Medical Practices of Antietam LLC

NPI #1396543039 in Chambersburg, Pennsylvania

Provider Information

NPI Number
1396543039
Entity Type
Organization
Organization Name
Medical Practices of Antietam LLC
Primary Specialty
Plastic Surgery
Enumeration Date
Mar 7, 2025
Last Updated
Mar 7, 2025

Practice Location

Address
12 ST PAUL DR STE 100
ZIP Code
17201-1035
Phone
(717) 217-6720

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Practice
Internal Medicine
Plastic Surgery

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