Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Practices of Antietam LLC

Organization Cardiovascular Disease Physician · NPI 1295533834

Medical Practices of Antietam LLC is a Cardiovascular Disease Physician in Hagerstown, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1733 Howell Rd
Hagerstown, MD 21740-6638
Phone: (301) 797-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Nuclear Medicine Physician Taxonomy 207U00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1295533834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedMarch 7, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address11116 Medical Campus Rd, Hagerstown, MD 21742-6710

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