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

Medical Practices of Antietam, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1316620743

Medical Practices of Antietam, LLC is an Ambulatory Surgical Clinic/Center in Hagerstown, Maryland. Registered with an NPI since 2023.

In the registry since
2023
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

11110 Medical Campus Rd Ste 242
Hagerstown, MD 21742-6728
Phone: (240) 513-7072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1316620743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Chief Financial Officer · (301) 790-9351
Other names Meritus Urology Center
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 10, 2023
Mailing address11110 Medical Campus Rd Ste 242, Hagerstown, MD 21742-6728

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