Organization · Type 2 NPI

Medical Practices of Antietam LLC

Hematology & Oncology Physician · Hagerstown, MD

NPI number 1700684347 Active

Practice location

11110 Medical Campus Rd Ste 130
Hagerstown, MD 21742-6799

Call (301) 665-4710 Map

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
General Practice Physician 208D00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1700684347

Medical Practices of Antietam LLC's National Provider Identifier is 1700684347, issued on Mar 7, 2025. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 7, 2025.