Individual
DONNA BALDASSARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1875 S GRANT ST, SAN MATEO, CA 94402-2666
(888) 227-8884
Mailing address
1875 S GRANT ST STE 760, SAN MATEO, CA 94402-2670
(707) 442-5683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2016-02456
NC
207R00000X
Internal Medicine Physician
0102203602
VA
207R00000X
Internal Medicine Physician
83751
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2016-02456
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
23709
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2016-02456
NC
Other
Enumeration date
06/10/2008
Last updated
11/05/2025
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