MEDICARE: DR. MILAN PETAR STOJANOVIC MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	79709	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	750185	OTHER	MA	TUFTS HEALTH PLAN
3	J31137	OTHER	MA	BCBS MA

General Provider Information

NPI Number	:	1841272879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILAN PETAR STOJANOVIC MD

Provider Business Mailing Address
First Line	:	200 SPRINGS RD
Second Line	:
City	:	BEDFORD
State	:	MA
Zip	:	01730-1114
Country	:	US
Telephone Number	:	781-687-3373
Fax Number	:	781-687-3373

Provider Business Practice Location Address
First Line	:	200 SPRINGS RD
Second Line	:
City	:	BEDFORD
State	:	MA
Zip	:	01730-1114
Country	:	US
Telephone Number	:	781-687-2000
Fax Number	:	781-687-3373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	04/06/2025

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