Organization · Type 2 NPI

Medical Practices of Antietam LLC

Plastic Surgery Physician · Hagerstown, MD

NPI number 1114725850 Active

Practice location

11110 Medical Campus Rd Ste 241
Hagerstown, MD 21742-6756

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed
Surgery Physician 208600000XNone listed
General Practice Physician 208D00000XNone listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

3 other providers at this address

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About NPI 1114725850

Medical Practices of Antietam LLC's National Provider Identifier is 1114725850, issued on Mar 7, 2025. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 7, 2025.