Basic Information
Provider Information
NPI: 1104031368
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCINTOSH
FirstName: ALYSON
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 689
Address2: JOHN AND DORTHY MORGAN CANCER CENTER,LEHIGH VALLEY HOSP
City: ALLENTOWN
State: PA
PostalCode: 181051556
CountryCode: US
TelephoneNumber: 6104020700
FaxNumber:  
Practice Location
Address1: 1240 CEDAR CREST BLVD GROUND FLOOR
Address2: JOHN AND DORTHY MORGAN CANCER CENTER,LEHIGH VALLEY HOSP
City: ALLENTOWN
State: PA
PostalCode: 181051556
CountryCode: US
TelephoneNumber: 6104020700
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2007
LastUpdateDate: 09/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001XMD438979PAY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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