An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Medical Oncology | 207RX0202X |
| General Practice | 208D00000X | |
| Surgical Oncology | 2086X0206X |
* Indicates primary specialty
| NPI Number | 1962200501 |
| Legal business name LBN |
MEDICAL PRACTICES OF ANTIETAM LLC |
| Authorized official | JOSHUA REPAC - (CFO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 03/07/2025 |
| Last updated | 03/07/2025 - More than a year ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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