Provider Demographics
NPI:1750166997
Name:MCDONALD, ALISON J
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:J
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GOV BRADFORD LN
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-4334
Mailing Address - Country:US
Mailing Address - Phone:857-636-2320
Mailing Address - Fax:
Practice Address - Street 1:60 GOV BRADFORD LN
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-4334
Practice Address - Country:US
Practice Address - Phone:857-636-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program