Dr MARISA K BALDASSANO is a female medical professional, specializing in Physician Assistant. She graduated in 2010.
MAIN LINE GASTROENTEROLOGY ASSOCIATES, PC
100 E LANCASTER AVE
SUITE 252
WYNNEWOOD
PA
190963432
Tel: 6108967360
| Npi | 1821392978 |
| Pac Id | 4880870153 |
| Professional Enrollment Id | I20110523000008 |
| Last Name | BALDASSANO |
| First Name | MARISA |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | MAIN LINE GASTROENTEROLOGY ASSOCIATES, PC |
| Group Practice Pac Id | 9931189784 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 100 E LANCASTER AVE |
| Line 2 Street Address | SUITE 252 |
| Marker Of Address Line 2 Suppression | |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 190963432 |
| Phone Number | 6108967360 |
| Hospital Affiliation Ccn 1 | 390153 |
| Hospital Affiliation Lbn 1 | PAOLI HOSPITAL |
| Hospital Affiliation Ccn 2 | 390222 |
| Hospital Affiliation Lbn 2 | RIDDLE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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