Medical Practices of Antietam LLC
Medical Practices of Antietam LLC is a General Practice Physician in Hagerstown, Maryland. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11110 Medical Campus Rd Ste 225Hagerstown, MD 21742-6727
Phone: (301) 665-4720
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1164220703 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joshua Repac — Cfo · (301) 790-9351 |
| NPI enumerated | March 7, 2025 |
| Last updated in NPPES | March 7, 2025 |
| Certification date | March 7, 2025 |
| Mailing address | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 |
Other providers in Hagerstown
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Medical Practices of Antietam LLC
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Medical Practices of Antietam LLC
11116 Medical Campus Rd, Hagerstown, MD 21742-6710 · (301) 790-8000
-
Medical Practices of Antietam LLC
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