M Justine Clark, DO - General Practice in Annapolis, MD

M Justine Clark, DO is a General Practice physician based in Annapolis, Maryland. M Justine Clark is licensed to practice in Maryland (license number H0041992) and her current practice location is 600 Ridgely Ave Ste 214, Annapolis, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 573-2290.

NPI number for M Justine Clark is 1386158525 and her current mailing address is 600 Ridgely Ave Ste 214, Annapolis, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386158525.

Contact Information

M Justine Clark, DO
600 Ridgely Ave Ste 214,
Annapolis, MD 21401-8804
(410) 573-2290
Not Available



Physician's Profile

Full NameM Justine Clark
GenderFemale
SpecialityGeneral Practice
Location600 Ridgely Ave Ste 214, Annapolis, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386158525
  • Provider Enumeration Date: 11/27/2017
  • Last Update Date: 11/27/2017

Medical Identifiers

Medical identifiers for M Justine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386158525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice H0041992 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. M Justine Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
M Justine Clark, DO
600 Ridgely Ave Ste 214,
Annapolis, MD 21401-8804

Ph: () -
M Justine Clark, DO
600 Ridgely Ave Ste 214,
Annapolis, MD 21401-8804

Ph: (410) 573-2290

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General Practice Doctors in Annapolis, MD

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Dr. Mark E Eaton, M.D.
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Practice Location: 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409
Phone: 410-268-3887    Fax: 410-268-8171

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