Provider Demographics
NPI:1306099262
Name:ALINA R. ALFIRII, M.D. LLC
Entity type:Organization
Organization Name:ALINA R. ALFIRII, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:RODICA
Authorized Official - Last Name:ALFIRII
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-654-6526
Mailing Address - Street 1:31 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-5721
Mailing Address - Country:US
Mailing Address - Phone:203-654-6526
Mailing Address - Fax:203-745-5608
Practice Address - Street 1:136 SHERMAN AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5238
Practice Address - Country:US
Practice Address - Phone:203-654-6526
Practice Address - Fax:203-745-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036604207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD100000075Medicare PIN