Provider Demographics
NPI:1942704309
Name:DJORDJEVIC, DARJA (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:DARJA
Middle Name:
Last Name:DJORDJEVIC
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BRAINERD RD UNIT 301
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-4581
Mailing Address - Country:US
Mailing Address - Phone:312-952-1985
Mailing Address - Fax:
Practice Address - Street 1:YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:300 GEORGE ST, SUITE 901
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-785-2095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program