institution
Antietam Neurology Center, Pa
Specialist in Hagerstown, Maryland
NPI 1093860553

Antietam Neurology Center, Pa is a Specialist based in Hagerstown, MD. Antietam Neurology Center, Pa practices in Hagerstown, MD. The NPI Number for Antietam Neurology Center, Pa is 1093860553 and holds a License No. D0022136 (Maryland).

The current practice location address for Antietam Neurology Center, Pa is 11110 Medical Campus Rd Ste 227, Hagerstown, MD and can be reached out via phone at 301-797-1900 and via fax at 301-797-2238.

Location: 11110 Medical Campus Rd Ste 227, Hagerstown, MD, 21742-6727
institution
Provider Profile Details
NPI Number
1093860553
Provider Name
Antietam Neurology Center, Pa
Credential
Provider Entity Type
Organization
Address
11110 Medical Campus Rd Ste 227, Hagerstown, MD, 21742-6727
Phone Number
301-797-1900
Fax Number
301-797-2238
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4237013 00 05 MD
institution
Provider Business Practice Location Address Details
Address
11110 Medical Campus Rd Ste 227
City
State
Zip
21742-6727
Phone Number
301-797-1900
Fax Number
301-797-2238
person
Provider Business Mailing Address Details
Address
11110 Medical Campus Rd Ste 227
City
State
Zip
21742-6727
Phone Number
301-797-1900
Fax Number
301-797-2238
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
D0022136 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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