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1710700042
MEDICAL PRACTICES OF ANTIETAM LLC
HAGERSTOWN, MD
NPI
1710700042
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Entity Type
Organization
Authorized Contact
JOSHUA REPAC
CFO
301-790-9351
Organization Subpart ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
MEDICAL PRACTICES OF ANTIETAM LLC
1130 PROFESSIONAL CT
HAGERSTOWN, MD 21740-5852
Phone number: 301-791-5555
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Mailing Address
MEDICAL PRACTICES OF ANTIETAM LLC
1130 PROFESSIONAL CT
HAGERSTOWN, MD 21740-5852
Phone number:
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