Provider Demographics
NPI:1326097650
Name:CUTLIP, MARIJA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIJA
Middle Name:
Last Name:CUTLIP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIJA
Other - Middle Name:
Other - Last Name:GRBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MB
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:SUITE 9055 FORBES TOWER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:
Practice Address - Street 1:3501 FORBES AVE
Practice Address - Street 2:UPP-DEPT PSYCHIATRY
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3317
Practice Address - Country:US
Practice Address - Phone:412-624-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-4223422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
1537268OtherHIGHMARK
PA1008160340001Medicaid
348114OtherMHNET
0-545-655-3OtherECFMG
PAH54637Medicare UPIN
073306EPMMedicare ID - Type Unspecified