Provider Demographics
NPI:1447131834
Name:FALL, ADAMA
Entity type:Individual
Prefix:
First Name:ADAMA
Middle Name:
Last Name:FALL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 S STATE RD APT B610
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-3036
Mailing Address - Country:US
Mailing Address - Phone:917-378-5892
Mailing Address - Fax:
Practice Address - Street 1:83 S STATE RD APT B610
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3036
Practice Address - Country:US
Practice Address - Phone:917-378-5892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter