Organization
MEDICAL PRACTICES OF ANTIETAM LLC
Active
Organization
MEDICAL PRACTICES OF ANTIETAM LLC
Active
Other names
Meritus Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
17301 VALLEY MALL RD STE 125, HAGERSTOWN, MD 21740-6966
(301) 790-9237
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/05/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up