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

Medical Practices of Antietam, LLC

Organization Obstetrics & Gynecology Physician · NPI 1982424172

Medical Practices of Antietam, LLC is an Obstetrics & Gynecology Physician in Hagerstown, Maryland. Registered with an NPI since 2024.

In the registry since
2024
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 107
Hagerstown, MD 21742-6734
Phone: (301) 714-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1982424172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Repac — Cfo · (301) 790-9351
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address11110 Medical Campus Rd Ste 107, Hagerstown, MD 21742-6734

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