Graduated: 2021
NPI: 1194394098
Practice Locations (2)
MEDICAL PRACTICES OF ANTIETAM, LLC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
MERITUS MEDICAL CENTER INC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
Source: CMS National Downloadable File, September 2026.