Provider Demographics
NPI:1093969032
Name:JOANNE MCDONALD & ASSOC. LLC
Entity Type:Organization
Organization Name:JOANNE MCDONALD & ASSOC. LLC
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-655-8866
Mailing Address - Street 1:1 ROSSMOOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1566
Mailing Address - Country:US
Mailing Address - Phone:609-655-8866
Mailing Address - Fax:609-655-4570
Practice Address - Street 1:1 ROSSMOOR DRIVE
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-1566
Practice Address - Country:US
Practice Address - Phone:609-655-8866
Practice Address - Fax:609-655-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00088300237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty