Provider Demographics
NPI:1104031368
Name:MCINTOSH, ALYSON F (MD)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:F
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 689
Mailing Address - Street 2:JOHN AND DORTHY MORGAN CANCER CENTER,LEHIGH VALLEY HOSP
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-1556
Mailing Address - Country:US
Mailing Address - Phone:610-402-0700
Mailing Address - Fax:
Practice Address - Street 1:1240 CEDAR CREST BLVD GROUND FLOOR
Practice Address - Street 2:JOHN AND DORTHY MORGAN CANCER CENTER,LEHIGH VALLEY HOSP
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18105-1556
Practice Address - Country:US
Practice Address - Phone:610-402-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4389792085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology