Organization · Type 2 NPI

Medical Practices of Antietam LLC

Neurological Surgery Physician · Hagerstown, MD

NPI number 1124826862 Active

Practice location

11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755

Call (301) 790-8750 Map

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Nuclear Medicine Physician 207U00000XNone listed
General Practice Physician 208D00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1124826862

Medical Practices of Antietam LLC's National Provider Identifier is 1124826862, issued on Mar 7, 2025. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 10, 2026.