Organization
MANZAR J SHAFI MD PA
Active
Other names
Antietam Geriatric & Internal Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANZAR J SHAFI MD (PRESIDENT)
(301) 739-4510
Entity
Organization
Contact information
Practice address
368 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 739-4510
(301) 739-0140
Mailing address
368 MILL ST, HAGERSTOWN, MD 21740-6138
(301) 739-4510
(301) 739-0140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D28365
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0062327
MD
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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