Medical Practices Of Antietam, Llc in Hagerstown - General Practice
Medical Practices Of Antietam, Llc - NPI 1558430843
Medical Practices Of Antietam, Llc is a General Practice in Hagerstown, Maryland. Medical Practices Of Antietam, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Medical Practices Of Antietam, Llc is 1558430843. The last update date is 2022-10-26.
Medical Practices Of Antietam, Llc's current location address is 11110 Medical Campus Road, Hagerstown, Maryland. You can contact this provider via phone number 3016654531. The mailing address for Medical Practices Of Antietam, Llc is 11110 Medical Campus Road, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Practices Of Antietam, Llc |
|---|---|
| Address | 11110 Medical Campus Road, Hagerstown, Maryland |
| Phone Number | 3016654531 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Repac Joshua |
| Telephone Number | 3017909351 |
NPI Number Detail
| NPI Number | 1558430843 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2022-10-26 |
Provider Mailing Address Detail
| Address | 11110 Medical Campus Road |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 21742 |
| Phone Number | 3016654531 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the Medical Practices Of Antietam, Llc's unique identification number?
The Medical Practices Of Antietam, Llc has been assigned the NPI (National Provider Identifier) Number 1558430843 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Medical Practices Of Antietam, Llc located?
The Medical Practices Of Antietam, Llc is located at 11110 Medical Campus Road, Hagerstown, MD 21742.
What is the Medical Practices Of Antietam, Llc's specialty and taxonomy code?
The Medical Practices Of Antietam, Llc's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date was the 1558430843 assigned to Medical Practices Of Antietam, Llc?
The Medical Practices Of Antietam, Llc was issued its 1558430843 on 2006-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Medical Practices Of Antietam, Llc last refreshed?
The information related to the Medical Practices Of Antietam, Llc, including its address, specialty, and other relevant details, was last updated on 2022-10-26.
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