Medical Practices Of Antietam Llc | |
11110 Medical Campus Rd Ste 200 Hagerstown MD 21742-6797 | |
(301) 714-4400 | |
Not Available |
Full Name | Medical Practices Of Antietam Llc |
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Speciality | Family Medicine |
Location | 11110 Medical Campus Rd Ste 200, Hagerstown, Maryland |
Authorized Official Name and Position | Joshua Repac (CFO) |
Authorized Official Contact | 3017909351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medical Practices Of Antietam Llc 11110 Medical Campus Rd Ste 200 Hagerstown MD 21742-6797 Ph: () - | Medical Practices Of Antietam Llc 11110 Medical Campus Rd Ste 200 Hagerstown MD 21742-6797 Ph: (301) 714-4400 |
NPI Number | 1619790953 |
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Provider Enumeration Date | 11/05/2024 |
Last Update Date | 11/05/2024 |
Identifier | Type | State | Issuer |
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1619790953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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