Healthcare Provider Details

I. General information

NPI: 1720909922
Provider Name (Legal Business Name): OFFICE OF MILENA DJURIC M.D. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CONIFER HILL DR STE 310
DANVERS MA
01923-1169
US

IV. Provider business mailing address

160 ALEWIFE BROOK PKWY STE 1363
CAMBRIDGE MA
02138-1102
US

V. Phone/Fax

Practice location:
  • Phone: 617-816-8747
  • Fax: 978-288-0144
Mailing address:
  • Phone: 617-816-8747
  • Fax: 978-288-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MILENA DJURIC
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 617-816-8747