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

Medical Practices of Antietam LLC

Organization Vascular & Interventional Radiology Physician · NPI 1467391706

Medical Practices of Antietam LLC is a Vascular & Interventional Radiology Physician in Hagerstown, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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 143
Hagerstown, MD 21742-6755
Phone: (301) 714-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1467391706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedMarch 25, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address11116 Medical Campus Rd, Hagerstown, MD 21742-6710

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