Organization · Type 2 NPI

Medical Practices of Antietam LLC

Surgery Physician · Frederick, MD

NPI number 1477351013 Active

Practice location

4991 New Design Rd Ste 103
Frederick, MD 21703-7342

Call (301) 790-8000 Map

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed
General Practice Physician 208D00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1477351013

Medical Practices of Antietam LLC's National Provider Identifier is 1477351013, issued on Mar 7, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Frederick, MD. The record was last updated on Mar 7, 2025.