MELISSA AVIVA CLARK

COLUMBIA, MD
NPI1346236775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D70056)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036-105536)
Enumeration Date2005-09-21
Last Update Date2015-07-14
Business Address
Dr. MELISSA AVIVA CLARK M.D.
9710 PATUXENT WOODS DR SUITE 200
COLUMBIA, MD 21046-1526
Phone number: 301-575-8080
Mailing Address
Dr. MELISSA AVIVA CLARK M.D.
800S FREDERICK AVE 100
GAITHERSBURG, MD 20877-4151
Phone number: 301-355-2013