Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
M. JUSTINE CLARK, DO
ActiveM. JUSTINE CLARK, DO is a General Practice healthcare provider located in ANNAPOLIS, Maryland. NPI 1386158525 is currently active in the NPPES registry. Verify at CMS.
General Practice · ANNAPOLIS, MD
Registration Details
- NPI Number
- 1386158525
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2017 (8.7297297287366 yrs)
- Last Updated
- Nov 27, 2017
- License
-
H0041992 (MD)
Practice Information
- Address
-
600 RIDGELY AVE STE 214ANNAPOLIS, MD, 214018804Browse MD providers · Browse ZIP 21401
- Phone
- 4105732290
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in ANNAPOLIS, MD
| Name | Credential | NPI |
|---|---|---|
| DR. REYNALDO RODRIGUEZ | M.D | 1518222090 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.