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Organization
ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC
Active
Organization
ANTIETAM PEDIATRIC AND ADOLESCENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON D WEAVER M.D. (PARTNER)
(301) 393-2600
Entity
Organization
Contact information
Practice address
1161 OMEGA DR, HAGERSTOWN, MD 21740-5574
(301) 393-2600
(210) 393-2614
Mailing address
1161 OMEGA DR, HAGERSTOWN, MD 21740-5574
(301) 393-2600
(210) 393-2614
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
MD
Other
Enumeration date
06/14/2006
Last updated
07/21/2022
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