Individual
RONALD BALASSANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 DIVISADERO ST, UCSF/MT. ZION MEDICAL CENTER, ROOM 200 FNA CLINIC, SAN FRANCISCO, CA 94115-3010
(415) 514-6642
(415) 353-7676
Mailing address
1600 DIVISADERO ST, UCSF/MT. ZION MEDICAL CENTER, ROOM 200 FNA CLINIC, SAN FRANCISCO, CA 94115-3010
(415) 514-6642
(415) 353-7676
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
231336
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
231336
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD425251
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101164898
—
PA
Enumeration date
02/02/2006
Last updated
09/05/2012
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