Provider Demographics
NPI:1841272879
Name:STOJANOVIC, MILAN PETAR (MD)
Entity type:Individual
Prefix:DR
First Name:MILAN
Middle Name:PETAR
Last Name:STOJANOVIC
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1114
Mailing Address - Country:US
Mailing Address - Phone:781-687-3373
Mailing Address - Fax:781-687-3373
Practice Address - Street 1:200 SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1114
Practice Address - Country:US
Practice Address - Phone:781-687-2000
Practice Address - Fax:781-687-3373
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79709207LP2900X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3136825Medicaid
MA750185OtherTUFTS HEALTH PLAN
MAJ31137OtherBCBS MA
MA3136825Medicaid
E37170Medicare UPIN