Individual
DR. MELISSA AVIVA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9710 PATUXENT WOODS DR, SUITE 200, COLUMBIA, MD 21046-1526
(301) 575-8080
Mailing address
800S FREDERICK AVE 100, GAITHERSBURG, MD 20877-4151
(301) 355-2013
(301) 963-0072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-105536
IL
207Q00000X
Family Medicine Physician
Primary
D70056
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-105536
—
IL
Enumeration date
09/21/2005
Last updated
07/14/2015
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