Antietam Pediatric And Adolescent Care, Llc

LBN: Antietam Pediatric And Adolescent Care, Llc
Antietam Pediatric And Adolescent Care, Llc is an health care organization with primary practice located at 1161 Omega Dr , Hagerstown MD 21740-5574. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Antietam Pediatric And Adolescent Care, Llc can be contacted via phone (301) 393-2600, or through Weaver, Leon D via phone (301) 393-2600.

Contact Information

Primary practice address
1161 Omega Dr Hagerstown MD 21740-5574
Phone: (301) 393-2600
Fax: (210) 393-2614
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Leon D Doctor of Medicine (MD)
Phone: (301) 393-2600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X Maryland

Profile Details

NPI number 1780627810
LBN Legal business name Antietam Pediatric And Adolescent Care, Llc
DBA Doing business as
Authorized official Weaver, Leon D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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