Provider Demographics
NPI:1477740538
Name:BAJIC, DUSICA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DUSICA
Middle Name:
Last Name:BAJIC
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE, BADER 3
Mailing Address - Street 2:DPT. ANESTESIOLOGY, PERIOPERATIVE AND PAIN MEDICINE, CH
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5737
Mailing Address - Country:US
Mailing Address - Phone:617-355-7737
Mailing Address - Fax:617-730-0894
Practice Address - Street 1:300 LONGWOOD AVE, BADER 3
Practice Address - Street 2:DPT. ANESTESIOLOGY, PERIOPERATIVE AND PAIN MEDICINE, CH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5737
Practice Address - Country:US
Practice Address - Phone:617-355-7737
Practice Address - Fax:617-730-0894
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233813207L00000X, 207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology