| Doctor Name: | DR. DUSAN HANIDZIAR |
| NPI Number: | 1003103813 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PH.D. |
| License Number: | 262308 |
| Business Practice Address: | 55 Fruit St Gray-bigelow 444 Boston, MA - 021142621 |
| Business Phone Number: | 6177263030 |
| Business Fax Number: | |
| Mailing Address: | 55 Fruit St, Gray-bigelow 444 BOSTON |
| State: | MA |
| Postal Code: | 021142621 |
| Phone Number: | 6177263030 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2011 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LC0200X |
| License Number: | 262308 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |