Active NPIIndividual provider

Dr. Marisa F Baldassano, MD

Dermatology, Dermatopathology in Lower Gwynedd, Pennsylvania

NPI Number1013965011
Practice location
101 Hillcrest Lane, Lower Gwynedd, PA 19002
Fax
215-628-3559
Last updated
June 17, 2026

Marisa Frances Baldassano is a Dermatology, Dermatopathology based in Lower Gwynedd, PA. Marisa Frances Baldassano practices in Lower Gwynedd, PA and has the professional credentials of MD. The NPI Number for Marisa Frances Baldassano is 1013965011 and holds a License No. MD072857L (PA). The current practice location address for Marisa Frances Baldassano is 101 Hillcrest Lane, Lower Gwynedd, PA 19002 and can be reached out via phone at 215-628-0855 and via fax at 215-628-3559.

Provider Profile Details

NPI Number
1013965011
Provider Name
Marisa Frances Baldassano
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Hillcrest Lane, Lower Gwynedd, PA 19002
Phone Number
215-628-0855
Fax Number
215-628-3559
Primary Taxonomy
Dermatology, Dermatopathology · 207ND0900X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2006
Last Update Date
June 17, 2026
Certification Date
June 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Hillcrest Lane
Lower Gwynedd, PA 19002
Zip
19002
Phone Number
215-628-0855
Fax Number
215-628-3559
Lower Gwynedd, PA 19002Get directions →

Provider Business Mailing Address Details

Address
101 Hillcrest Ln
Lower Gwynedd, PA 19002-1959
City
Lower Gwynedd
State
PA
Zip
19002-1959
Phone Number
215-628-0855
Fax Number
215-628-3559

License Information

License Number (1)
MD072857L
License State (1)
PA
Taxonomy (1)
Dermatology, Dermatopathology · 207ND0900X · Primary
License Number (2)
25MA07863000
License State (2)
NJ
Taxonomy (2)
Pathology, Dermatopathology · 207ZD0900X
License Number (3)
208716
License State (3)
NY
Taxonomy (3)
Pathology, Dermatopathology · 207ZD0900X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marisa F Baldassano, MD?

The NPI number of Dr. Marisa F Baldassano, MD is 1013965011. It was assigned on May 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marisa F Baldassano, MD?

Dr. Marisa F Baldassano, MD is registered under the primary taxonomy Dermatology, Dermatopathology (code 207ND0900X), licensed in PA under license number MD072857L.

Where does Dr. Marisa F Baldassano, MD practice?

The practice location is 101 Hillcrest Lane, Lower Gwynedd, PA 19002. The office can be reached at 215-628-0855 (phone) or 215-628-3559 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013965011 directly on the NPPES registry website.

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