Provider Demographics
NPI:1134354269
Name:FALL, BINETOU SYLLA (MD)
Entity type:Individual
Prefix:
First Name:BINETOU
Middle Name:SYLLA
Last Name:FALL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5500 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2370
Mailing Address - Country:US
Mailing Address - Phone:410-884-7831
Mailing Address - Fax:410-740-2955
Practice Address - Street 1:5500 KNOLL NORTH DR
Practice Address - Street 2:SUITE 370
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2370
Practice Address - Country:US
Practice Address - Phone:410-884-7831
Practice Address - Fax:410-740-2955
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2021-11-19
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Provider Licenses
StateLicense IDTaxonomies
MDD0074463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine