Individual
DR. CLEMENTINA F BATTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14139 POTOMAC MILLS ROAD, WOODBRIDGE, VA 22192-4644
(703) 490-7800
(703) 490-7635
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101051000
VA
208000000X
Pediatrics Physician
D0047400
MD
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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