Individual
FATOUMATTA BINTOU SISSOHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 N. CHARLES STREET, PPE 201, TOWSON, MD 21204
(443) 849-2682
Mailing address
7412 LEXHAM CT, WINDSOR MILL, MD 21244-1946
(443) 500-1374
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
58516
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2018
Last updated
12/08/2023
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