Eastman, Alena Borisovna

Eastman, Alena Borisovna is an individual health care provider with primary practice located at 94 Connecticut Blvd , East Hartford CT 06108-3013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Eastman, Alena Borisovna can be contacted via phone (860) 528-1359.

Contact Information

Primary practice address
94 Connecticut Blvd East Hartford CT 06108-3013
Fax: (860) 290-4142
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 049627 Connecticut

Profile Details

NPI number 1720288335
LBN Legal business name Eastman, Alena Borisovna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2007
Last updated Oct 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720288335 NPPES
Connecticut MEDICAID 004236164

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