Organization · Type 2 NPI
Medical Practices of Antietam LLC
Vascular & Interventional Radiology Physician · Hagerstown, MD
NPI number
1467391706
Active
Practice location
11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | None listed |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
18 other providers at this address
- Medical Practices of Antietam LLCNeurological Surgery Physician Hagerstown, MD NPI 1124826862
- Medical Practices of Antietam LLCSurgery Physician Hagerstown, MD NPI 1427856061
- Adrian E. Park, MDSurgery Physician Hagerstown, MD NPI 1376567099
- Asim ShabbirTrauma Surgery Physician Hagerstown, MD NPI 1114388154
- Bernardo Fabian Diaz Jr., MDSurgical Critical Care Physician Hagerstown, MD NPI 1609255447
- Brian M. Cantor, MDSurgery Physician Hagerstown, MD NPI 1548314404
- Caileigh Elizabeth Roberts, ATC, PA-CPhysician Assistant Hagerstown, MD NPI 1811406762
- Cheryl Ann Frushour, RD, LDNRegistered Dietitian Hagerstown, MD NPI 1316277577
- Chuckia Nicole Brown-Tisdale, MDInternal Medicine Physician Hagerstown, MD NPI 1306836804
- Cristina Butler-Lugo, CRNPNurse Practitioner Hagerstown, MD NPI 1033865266
- Daniel Schnurr, MDSurgery Physician Hagerstown, MD NPI 1316478696
- Katie Elaine Moser, DOSurgery Physician Hagerstown, MD NPI 1760756522
About NPI 1467391706
Medical Practices of Antietam LLC's National Provider Identifier is 1467391706, issued on Mar 25, 2026. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Hagerstown, MD. The record was last updated on Apr 2, 2026.