Provider Demographics
NPI:1437356615
Name:OSNAGA, ALINA I (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:I
Last Name:OSNAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:I
Other - Last Name:CONSTANTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:65 KANE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-2110
Mailing Address - Country:US
Mailing Address - Phone:860-523-6436
Mailing Address - Fax:860-523-3775
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-7120
Practice Address - Country:US
Practice Address - Phone:860-523-6436
Practice Address - Fax:860-523-3775
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400081867Medicare PIN