Provider Demographics
NPI:1083043194
Name:BAJIC, ZORICA (PA-C)
Entity Type:Individual
Prefix:
First Name:ZORICA
Middle Name:
Last Name:BAJIC
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ZORICA
Other - Middle Name:
Other - Last Name:MILIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21 SCHOOL ST
Mailing Address - Street 2:APT 205
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3957
Mailing Address - Country:US
Mailing Address - Phone:207-756-9795
Mailing Address - Fax:
Practice Address - Street 1:9 HEALTHCARE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9449
Practice Address - Country:US
Practice Address - Phone:207-283-1427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA1436363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical