Provider Demographics
NPI:1801886098
Name:MACDONALD, ALISON (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:99 HAWLEY LANE
Mailing Address - Street 2:FLOOR 3- CB 3427
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-1202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:475-246-9894
Practice Address - Street 1:908 ALLEN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-2533
Practice Address - Country:US
Practice Address - Phone:413-796-7494
Practice Address - Fax:413-796-7498
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RID00119207L00000X
MA79220207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology