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Soprinye Elim Dappa-Fombo, MD

Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY. Individual provider (NPI-1).

NPI number1447955331
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1447955331
Entity type
Individual (NPI-1)
Name
Soprinye Elim Dappa-Fombo
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2023
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2649 South Rd Ste 104
Poughkeepsie, NY 12601-6843

Phone 470-667-9538

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Phone 410-933-0000 · Fax 410-500-4266

Other practice locations

1800 Orleans St
Baltimore, MD 21287-0010

Phone 410-502-2037

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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