Medical Practices of Antietam LLC
Medical Practices of Antietam LLC is a Medical Oncology 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 243Hagerstown, MD 21742-6756
Phone: (301) 665-4780
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
| Medical Oncology Physician (primary) | Taxonomy 207RX0202X |
|---|---|
| Surgical Oncology Physician | Taxonomy 2086X0206X |
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1962200501 |
|---|---|
| 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 |