Organization · Type 2 NPI

Medical Practices of Antietam LLC

Gynecology Physician · Hagerstown, MD

NPI number 1710700042 Active

Practice location

11110 Medical Campus Rd Ste 147
Hagerstown, MD 21742-6755

Call (301) 791-5555 Map

Mailing address

1130 Professional Ct
Hagerstown, MD 21740-5852

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

12 other providers at this address

Other gynecology physician providers in Hagerstown

See all in Hagerstown →

About NPI 1710700042

Medical Practices of Antietam LLC's National Provider Identifier is 1710700042, issued on Nov 5, 2024. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 10, 2026.