Individual
DR. DUSAN HANIDZIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
55 FRUIT ST, GRAY-BIGELOW 444, BOSTON, MA 02114-2621
(617) 726-3030
Mailing address
55 FRUIT ST, GRAY-BIGELOW 444, BOSTON, MA 02114-2621
(617) 726-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
262308
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
262308
MA
Other
Enumeration date
06/30/2011
Last updated
05/04/2016
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