Organization · Type 2 NPI

Medical Practices of Antietam, LLC

Ambulatory Surgical Clinic/Center · Hagerstown, MD

NPI number 1316620743 Active

Practice location

11110 Medical Campus Rd Ste 242
Hagerstown, MD 21742-6728

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1316620743

Medical Practices of Antietam, LLC's National Provider Identifier is 1316620743, issued on Aug 11, 2023. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Hagerstown, MD. The record was last updated on Aug 11, 2023.