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

Q: 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.

Q: What is Justin Clark's specialty?

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

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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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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