| Antietam Family Health, Llc | |
|
330 Frederick St Hagerstown MD 21740-6112 | |
| (240) 203-8864 | |
| Not Available |
| Full Name | Antietam Family Health, Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 330 Frederick St, Hagerstown, Maryland |
| Authorized Official Name and Position | Mark Anthony Roncone (OWNER) |
| Authorized Official Contact | 2402038864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antietam Family Health, Llc 1101 Opal Ct Ste 217 Hagerstown MD 21740-5941 Ph: (240) 203-8864 | Antietam Family Health, Llc 330 Frederick St Hagerstown MD 21740-6112 Ph: (240) 203-8864 |
| NPI Number | 1578332029 |
|---|---|
| Provider Enumeration Date | 12/26/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578332029 | NPI | - | NPPES |
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