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DR. JUSTIN CLARK D.O.
NPI 1962480459
Surgery in Lewiston, ME

Active since January 04, 2006
99 CAMPUS AVE, SUITE 303, LEWISTON, ME 04240(207) 782-5424(207) 782-1136 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin Clark D.o. NPPES

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

DR. JUSTIN CLARK D.O. (NPI 1962480459) is an individual surgery provider in Lewiston, Maine, licensed in Massachusetts (215216) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1962480459
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JUSTIN CLARKCredential: D.O.
Location Address99 CAMPUS AVE, SUITE 303Lewiston, ME 04240-6045
Mailing AddressPo Box 1638Albany, NY 12201-1638 · (207) 777-4111 · Fax (207) 783-6660
Phone(207) 782-5424
Fax(207) 782-1136
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateFebruary 15, 2012
✔ NPI 1962480459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 215216
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
99 CAMPUS AVE, Lewiston, ME 04240
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA L HARRIS MD
Internal Medicine (Infectious Disease)
99 CAMPUS AVE, SUITE 301
LEWISTON, ME 04240
Androscoggin County (207) 777-4320
MS. NAN M BOUCHER ANP
Nurse Practitioner (Gerontology)
99 CAMPUS AVE, SUITE 201
LEWISTON, ME 04240
Androscoggin County (207) 777-8810
MS. MARSHA C O'ROURKE M.D.
Surgery
99 CAMPUS AVE, SUITE 303
LEWISTON, ME 04240
Androscoggin County (207) 782-5424
SARAH M BUREK LCSW
Social Worker (Clinical)
99 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 777-8672
DR. SHIRIN SANAL MD
Internal Medicine (Pulmonary Disease)
99 CAMPUS AVE, SUITE 401
LEWISTON, ME 04240
Androscoggin County (207) 777-4320
DR. DAVID M BURKE MD
Psychiatry & Neurology (Neurology)
99 CAMPUS AVE, SUITE 402
LEWISTON, ME 04240
Androscoggin County (207) 777-4455
DR. MICHAEL J BOULANGER MD
Internal Medicine
99 CAMPUS AVE, SUITE 201
LEWISTON, ME 04240
Androscoggin County (207) 777-8810
DR. JOEL S OLSTEIN MD
Urology
99 CAMPUS AVE, SUITE 401
LEWISTON, ME 04240
Androscoggin County (207) 755-3150

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 Justin Clark's NPI number?

The NPI number for Justin Clark is 1962480459. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Justin Clark located?

Justin Clark practices at 99 Campus Ave Suite 303, Lewiston, ME 04240. The listed phone number is (207) 782-5424.

What is Justin Clark's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Justin Clark was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.