Organization · Type 2 NPI

Medical Practices of Antietam LLC

General Practice Physician · Hagerstown, MD

NPI number 1134074396 Active

Practice location

1130 Professional Ct
Hagerstown, MD 21740-5852

Call (240) 313-9650 Map

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1134074396

Medical Practices of Antietam LLC's National Provider Identifier is 1134074396, issued on Mar 3, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 3, 2026.