Individual
DR. MATIJA M BURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12 ANDOVER RD, PORTLAND, ME 04102
(207) 661-6064
(207) 253-6073
Mailing address
190 RIVERSIDE STREET, SUITE 6B, PORTLAND, ME 04103
(207) 661-2095
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1685
ME
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
DO1685
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312400099
—
ME
Enumeration date
06/27/2006
Last updated
10/24/2019
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