Individual
CLARK E JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BRICKHILL AVE STE 201, SOUTH PORTLAND, ME 04106-1999
(207) 773-1728
Mailing address
100 BRICKHILL AVE STE 201, SOUTH PORTLAND, ME 04106-1999
(207) 773-1728
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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