Individual
DR. MARISA FRANCES BALDASSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 HILLCREST LANE, LOWER GWYNEDD, PA 19002
(215) 628-0855
(215) 628-3559
Mailing address
101 HILLCREST LN, LOWER GWYNEDD, PA 19002-1959
(215) 628-0855
(215) 628-3559
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD072857L
PA
207ZD0900X
Dermatopathology (Pathology) Physician
25MA07863000
NJ
Other
Enumeration date
05/04/2006
Last updated
04/10/2026
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