Dr. Melissa Aviva Clark, MD
Dr. Melissa Aviva Clark, MD is a Family Medicine Physician in Columbia, Maryland. Licensed in Illinois and Maryland. Registered with an NPI since 2005.
- Licensed in
- IL, MD
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
9710 Patuxent Woods Dr Ste 200Columbia, MD 21046-1526
Phone: (301) 575-8080
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D70056 (MD) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036-105536 (IL) |
Record details
| NPI number | 1346236775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 21, 2005 |
| Last updated in NPPES | July 14, 2015 |
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