MEDICAL PRACTICES OF ANTIETAM LLC is an ambulatory surgical clinic center in Hagerstown, MD. MEDICAL PRACTICES OF ANTIETAM LLC NPI is 1033990866. The provider is registered as an organization entity type.
The provider's business location address is:
11110 MEDICAL CAMPUS RD STE 228 HAGERSTOWN, MD ZIP 21742-727 Phone: (301) 733-0022
The provider's authorized official is Joshua Repac . The authorized official title is Cfo and has the following contact phone number (301) 790-9351.
The enumeration date for this NPI number is 10/9/2023 and was last updated on 10/9/2023.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
