Individual
CLARK E JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
125.070949
IL
208800000X
Urology Physician
74011
CT
208800000X
Urology Physician
Primary
MD28197
ME
Other
Enumeration date
06/12/2017
Last updated
08/13/2024
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