Organization · Type 2 NPI
Medical Practices of Antietam LLC
General Practice Physician · Cascade, MD
NPI number
1750189494
Active
Practice location
14303 Lake Royer Dr
Cascade, MD 21719-1602
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
About NPI 1750189494
Medical Practices of Antietam LLC's National Provider Identifier is 1750189494, issued on Mar 7, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Cascade, MD. The record was last updated on Mar 7, 2025.