Whalio Doctors

NPI 1295264307

Clark E Judge, MD

Practitioner Urology Physician South Portland, ME

Practice location

Address
100 Brickhill Ave STE 201, South Portland, ME 04106-1999
Phone
(207) 773-1728

Registered specialties (3)

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD28197 (ME)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 74011 (CT)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 125.070949 (IL)

Registry record

NPI
1295264307
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jun 2017
Record last updated
13 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.