Medical Practices of Antietam LLC

NPI #1770381410 in Hancock, Maryland

Provider Information

NPI Number
1770381410
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
351 N PENNSYLVANIA AVE
ZIP Code
21750-1046
Phone
(301) 678-2901

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Practice

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