Individual
SYDNEY DANIELLE FALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-8667
Mailing address
490 NE 5TH AVE APT 4412, FORT LAUDERDALE, FL 33301-2495
(937) 823-9387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/24/2025
Last updated
08/04/2025
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