Medical Practices of Antietam LLC
Medical Practices of Antietam LLC is an Internal Medicine 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.
Practice location Address checks out
11110 Medical Campus Rd Ste 242Hagerstown, MD 21742-6728
Phone: (240) 513-7072
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
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Nuclear Medicine Physician | Taxonomy 207U00000X |
Record details
| NPI number | 1497553135 |
|---|---|
| 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 |
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