- Practice location
- 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999
- Phone
- 207-773-1728
- Fax
- —
- Last updated
- August 13, 2024
Clark E Judge is an Urology based in South Portland, ME. Clark E Judge practices in South Portland, ME and has the professional credentials of MD. The NPI Number for Clark E Judge is 1295264307 and holds a License No. 74011 (CT). The current practice location address for Clark E Judge is 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999 and can be reached out via phone at 207-773-1728.
Provider Profile Details
- NPI Number
- 1295264307
- Provider Name
- Clark E Judge
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999
- Phone Number
- 207-773-1728
- Primary Taxonomy
- Urology · 208800000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2017
- Last Update Date
- August 13, 2024
- Certification Date
- August 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Brickhill Ave Ste 201
South Portland, ME 04106-1999 - City
- South Portland
- State
- Maine
- Zip
- 04106-1999
- Phone Number
- 207-773-1728
Provider Business Mailing Address Details
- Address
- 100 Brickhill Ave Ste 201
South Portland, ME 04106-1999 - City
- South Portland
- State
- ME
- Zip
- 04106-1999
- Phone Number
- 207-773-1728
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Urology providers near South Portland, ME
View all Urology providers in South Portland →Frequently Asked Questions
What is the NPI number of Clark E Judge, MD?
The NPI number of Clark E Judge, MD is 1295264307. It was assigned on June 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Clark E Judge, MD?
Clark E Judge, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in CT under license number 74011.
Where does Clark E Judge, MD practice?
The practice location is 100 Brickhill Ave Ste 201, South Portland, ME 04106-1999. The office can be reached at 207-773-1728 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295264307 directly on the NPPES registry website.