Whalio Doctors

NPI 1104853001

Matija M Burtis, DO

Practitioner Obesity Medicine (Preventive Medicine) Physician Portland, ME

Practice location

Address
12 Andover Rd, Portland, ME 04102
Phone
(207) 661-6064
Fax
(207) 253-6073
Mailing address
190 Riverside Street Suite 6b, Portland, ME 04103

Registered specialties (2)

Obesity Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083B0002X Licence DO1685 (ME)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 1685 (ME)

Registry record

NPI
1104853001
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jun 2006
Record last updated
24 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.