DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MELISSA AVIVA CLARK, M.D.

Active

DR. MELISSA AVIVA CLARK, M.D. is a Family Medicine healthcare provider located in COLUMBIA, Maryland. NPI 1346236775 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COLUMBIA, MD

Registration Details

NPI Number
1346236775
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2005 (20.85116156712 yrs)
Last Updated
Jul 14, 2015
Licenses
036-105536 (IL)
D70056 (MD)

Practice Information

Address
9710 PATUXENT WOODS DR
SUITE 200
COLUMBIA, MD, 210461526
Browse MD providers · Browse ZIP 21046
Phone
3015758080
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in COLUMBIA, MD

Name Credential NPI
ROBERT F CADOGAN MD 1598767691
DR. MARK VINCENT SIVIERI M.D. 1992701742
DR. EYAKO KOFI WURAPA MD 1245231331
DR. SARAH JANE ARNOLD MD 1447222542
FRANCIS C. BRUNO M.D. 1063486702
DR. TRACY LYNN GUTIERREZ MD 1336113091
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.