Doctor Name: | ZORICA BAJIC |
NPI Number: | 1083043194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA1436 |
Business Practice Address: | 9 Healthcare Dr Suite 204 Biddeford, ME - 040059449 |
Business Phone Number: | 2072831427 |
Business Fax Number: | |
Mailing Address: | 21 School St, Apt 205 PORTLAND |
State: | ME |
Postal Code: | 041023957 |
Phone Number: | 2077569795 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA1436 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |