Organization · Type 2 NPI

Medical Practices of Antietam LLC

Surgery Physician · Hagerstown, MD

NPI number 1669270203 Active

Practice location

1110 Professional Ct
Hagerstown, MD 21740-5826

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XNone listed
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…

7 other providers at this address

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About NPI 1669270203

Medical Practices of Antietam LLC's National Provider Identifier is 1669270203, issued on Mar 7, 2025. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 7, 2025.