Organization · Type 2 NPI

Medical Practices of Antietam LLC

Cardiovascular Disease Physician · Hagerstown, MD

NPI number 1295533834 Active

Practice location

1733 Howell Rd
Hagerstown, MD 21740-6638

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Nuclear Medicine Physician 207U00000XNone listed
General Practice Physician 208D00000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1295533834

Medical Practices of Antietam LLC's National Provider Identifier is 1295533834, issued on Mar 7, 2025. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 7, 2025.