MEDICAL PRACTICES OF ANTIETAM LLC NPI 1982424172

NPI Information

  • NPI: 1982424172
  • Provider Name: MEDICAL PRACTICES OF ANTIETAM, LLC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 11110 MEDICAL CAMPUS RD STE 107
    HAGERSTOWN, MD
    ZIP 21742
  • Phone: (301) 714-4100

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NPI Details

MEDICAL PRACTICES OF ANTIETAM, LLC is an obstetrics gynecology in Hagerstown, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MEDICAL PRACTICES OF ANTIETAM, LLC NPI is 1982424172. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11110 MEDICAL CAMPUS RD STE 107
HAGERSTOWN, MD
ZIP 21742-734
Phone: (301) 714-4100

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 10/14/2024 and was last updated on 10/14/2024.

Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

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

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