Antietam Pediatric And Adolescent Care, Llc
Pediatric Adolescent Medicine
Antietam Pediatric And Adolescent Care, Llc is a Hagerstown, Maryland based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1161 Omega Dr, Hagerstown, Maryland - 21740-5574. They can be contacted on phone at
301-393-2600 and fax number 210-393-2614.
NPI number (Unique professional ID) for Antietam Pediatric And Adolescent Care, Llc is
1780627810 which was assigned by NPPES on 14 Jun, 2006 and it was last updated on 21 Jul, 2022.
Antietam Pediatric And Adolescent Care, Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Antietam Pediatric And Adolescent Care, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Antietam Pediatric And Adolescent Care, Llc |
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Business Address:
Antietam Pediatric And Adolescent Care, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1161 Omega Dr
Hagerstown, MD, 21740-5574
United States |
|---|
| Phone Number : | 301-393-2600 |
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| Fax Number : | 210-393-2614 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780627810 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Jun, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Leond Weaver |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PARTNER |
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| Phone Number : | 301-393-2600 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Antietam Pediatric And Adolescent Care, Llc are as mentioned. Primary taxonomy code for Antietam Pediatric And Adolescent Care, Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | MD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1161 Omega Dr
Hagerstown, MD, 21740-5574
United States |
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| Phone Number : | 301-393-2600 |
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| Fax Number : | 210-393-2614 |
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Business Location:
Patients can refer following map for directions to
Antietam Pediatric And Adolescent Care, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.