Provider Demographics
NPI:1760440564
Name:DONLAGIC, INA EMINA (MD)
Entity Type:Individual
Prefix:DR
First Name:INA
Middle Name:EMINA
Last Name:DONLAGIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:INA
Other - Middle Name:EMINA
Other - Last Name:DJONLAGIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-3237
Mailing Address - Fax:617-975-5506
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:BETH ISRAEL DEACONESS MEDICAL CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3237
Practice Address - Fax:617-975-5506
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2263092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology