Organization · Type 2 NPI
Medical Practices of Antietam LLC
General Practice Physician · Frederick, MD
NPI number
1316745953
Active
Practice location
310 W Ninth St Ste 10
Frederick, MD 21701-4546
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Surgery Physician | 208600000X | None listed |
| General Practice Physician Primary | 208D00000X | None 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.
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About NPI 1316745953
Medical Practices of Antietam LLC's National Provider Identifier is 1316745953, issued on Mar 7, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Frederick, MD. The record was last updated on Mar 7, 2025.