Provider Demographics
NPI:1598160277
Name:GEANEOTES GROUP INC.
Entity Type:Organization
Organization Name:GEANEOTES GROUP INC.
Other - Org Name:MIRACLE EAR OF SOUTH JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEANEOTES
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:856-986-2595
Mailing Address - Street 1:3003 ENGLISH CREEK AVENUE
Mailing Address - Street 2:SUITE E-04
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234
Mailing Address - Country:US
Mailing Address - Phone:856-986-2595
Mailing Address - Fax:609-646-7266
Practice Address - Street 1:3003 ENGLISH CREEK AVENUE
Practice Address - Street 2:SUITE E-04
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234
Practice Address - Country:US
Practice Address - Phone:609-646-2210
Practice Address - Fax:609-646-7266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech