| Doctor Name: | DR. OLIVERA JOVAN BOGUNOVIC-SOTELO |
| NPI Number: | 1063526937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 211579 |
| Business Practice Address: | 115 Mill St Belmont, MA - 024781041 |
| Business Phone Number: | 6178552403 |
| Business Fax Number: | |
| Mailing Address: | 115 Mill St, BELMONT |
| State: | MA |
| Postal Code: | 024781041 |
| Phone Number: | 6178552403 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0802X |
| License Number: | 211579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Psychiatry |
| Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |