Medical Practices of Antietam LLC

Organization Active
NPI 1396543930
Allergy & Immunology Physician Hagerstown, MD

NPI 1396543930 belongs to Medical Practices of Antietam LLC, an allergy & immunology physician with a practice location in Hagerstown, MD. The NPI was issued on March 7, 2025, and the record was last updated in NPPES on March 7, 2025. The record lists 4 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X Not listed
Allergy Physician 207KA0200X Not listed
Pediatric Allergy/Immunology Physician 2080P0201X Not listed
General Practice Physician 208D00000X Not listed

Practice location

1125 Diamond Dr
Hagerstown, MD 21740-5857
Phone: (301) 790-1482

Local context

Active NPPES records list 11 providers with allergy & immunology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 181 in Maryland and 5,571 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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