Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M Justine Clark, DO, LLC

Organization Family Medicine Physician · NPI 1700953007

M Justine Clark, DO, LLC is a Family Medicine Physician in Annapolis, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Ridgely Ave Ste 214
Annapolis, MD 21401
Phone: (410) 573-2292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H41992 (MD)

Record details

NPI number1700953007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official M Clark — Owner · (410) 573-2292
NPI enumeratedNovember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address600 Ridgely Ave, Suite 214, Annapolis, MD 21401

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