Individual
DR. REBECCA ORTOLANO CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 N VIRGINIA AVE, FALLS CHURCH, VA 22046-3336
(703) 532-4446
Mailing address
107 N VIRGINIA AVE, FALLS CHURCH, VA 22046-3336
(703) 532-4446
(703) 532-8426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101277667
VA
2080P0207X
Pediatric Hematology & Oncology Physician
26754
NE
Other
Enumeration date
05/18/2010
Last updated
11/22/2024
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