M JUSTINE CLARK, DO, LLC

ANNAPOLIS, MD
NPI1700953007
Entity TypeOrganization
Authorized ContactM JUSTINE CLARK
Owner
410-573-2292
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  H41992)
Enumeration Date2006-11-29
Last Update Date2020-08-22
Business Address
M JUSTINE CLARK, DO, LLC
600 RIDGELY AVE SUITE 214
ANNAPOLIS, MD 21401
Phone number: 410-573-2292
Mailing Address
M JUSTINE CLARK, DO, LLC
600 RIDGELY AVE SUITE 214
ANNAPOLIS, MD 21401
Phone number: 410-573-2292