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M. JUSTINE CLARK DO
NPI 1386158525
General Practice in Annapolis, MD

Active since November 27, 2017
600 RIDGELY AVE STE 214, ANNAPOLIS, MD 21401(410) 573-2290 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About M. Justine Clark Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M. JUSTINE CLARK DO (NPI 1386158525) is an individual general practice provider in Annapolis, Maryland, licensed in Maryland (H0041992) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1386158525
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameM. JUSTINE CLARKCredential: DO
Location Address600 RIDGELY AVE STE 214Annapolis, MD 21401-8804
Mailing Address600 Ridgely Ave Ste 214Annapolis, MD 21401-8804
Phone(410) 573-2290
Sole ProprietorNo
Enumeration DateNovember 27, 2017
✔ NPI 1386158525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · H0041992
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
600 RIDGELY AVE STE 214, Annapolis, MD 21401
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M. Clark's NPI number?

The NPI number for M. Clark is 1386158525. It was assigned to this individual provider in the NPPES registry on November 27, 2017.

Where is M. Clark located?

M. Clark practices at 600 Ridgely Ave Ste 214, Annapolis, MD 21401. The listed phone number is (410) 573-2290.

What is M. Clark's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for M. Clark was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.