BALDASSANO DERMATOPATHOLOGY PC NPI 1427000686

NPI Information

  • NPI: 1427000686
  • Provider Name: BALDASSANO DERMATOPATHOLOGY, PC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • CLIA Number: 39D1041216
  • Address: 101 HILLCREST LANE
    LOWER GWYNNED, PA
    ZIP 19002
  • Phone: (215) 628-0855

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NPI Details

BALDASSANO DERMATOPATHOLOGY, PC is a dermatopathology dermatology in Lower Gwynned, PA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. BALDASSANO DERMATOPATHOLOGY, PC NPI is 1427000686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 HILLCREST LANE
LOWER GWYNNED, PA
ZIP 19002
Phone: (215) 628-0855

The provider's authorized official is Marisa Baldassano .
The authorized official title is President and has the following contact phone number (215) 628-0855.

The CLIA number assigned to this NPI record is 39D1041216 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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