Medical Practices of Antietam LLC

NPI #1508664145 in Smithsburg, Maryland

Provider Information

NPI Number: 1508664145
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: 22911 JEFFERSON BLVD
City: Smithsburg
State: Maryland
ZIP Code: 21783-1617
Phone: (301) 824-3343

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X	Primary

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