Individual
ERIC MATTHEW SHURTLEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
887 CONGRESS ST STE 210, PORTLAND, ME 04102-3166
(207) 774-2381
(207) 774-9388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20A16577
CA
208600000X
Surgery Physician
Primary
DO3054
ME
2086S0102X
Surgical Critical Care Physician
DO3054
ME
2086S0127X
Trauma Surgery Physician
20A16577
CA
2086S0127X
Trauma Surgery Physician
DO3054
ME
Other
Enumeration date
06/10/2013
Last updated
08/17/2020
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