Organization · Type 2 NPI

Medical Practices of Antietam LLC

Medical Oncology Physician · Hagerstown, MD

NPI number 1962200501 Active

Practice location

11110 Medical Campus Rd Ste 243
Hagerstown, MD 21742-6756

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Specialties and licenses

TaxonomyCodeLicense
Medical Oncology Physician Primary 207RX0202XNone listed
Surgical Oncology Physician 2086X0206XNone listed
General Practice Physician 208D00000XNone listed

Medical Oncology Physician: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Another provider at this address

About NPI 1962200501

Medical Practices of Antietam LLC's National Provider Identifier is 1962200501, issued on Mar 7, 2025. The primary taxonomy on file is Medical Oncology Physician (207RX0202X), and the practice location is in Hagerstown, MD. The record was last updated on Mar 7, 2025.