Organization · Type 2 NPI

Medical Practices of Antietam LLC

Otolaryngology Physician · Hagerstown, MD

NPI number 1992695480 Active

Practice location

11110 Medical Campus Rd Ste 250
Hagerstown, MD 21742-6756

Call (301) 790-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed
Audiologist 231H00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

4 other providers at this address

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About NPI 1992695480

Medical Practices of Antietam LLC's National Provider Identifier is 1992695480, issued on Jul 7, 2025. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Hagerstown, MD. The record was last updated on Jul 7, 2025.