Provider Demographics
NPI:1821384546
Name:BUTASH, ALI LINSK (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:LINSK
Last Name:BUTASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALI
Other - Middle Name:MORGAN
Other - Last Name:LINSK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:77 S COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8891
Mailing Address - Country:US
Mailing Address - Phone:484-526-3571
Mailing Address - Fax:833-213-6428
Practice Address - Street 1:1941 HAMILTON ST STE 102
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6470
Practice Address - Country:US
Practice Address - Phone:610-826-4595
Practice Address - Fax:610-826-4399
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA248929208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery