Individual
FATOUMATA YARIE SYLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CUMMINGS CTR STE 111W, BEVERLY, MA 01915-6183
(978) 927-1859
Mailing address
PO BOX 24520, NEW YORK, NY 10087-3720
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1022008
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2022
Last updated
04/29/2026
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