Individual
COLEEN SHANNON MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
780 ROUTE 3, CLIFTON, NJ 07012-2328
(973) 777-6767
(973) 777-6745
Mailing address
32 SCHIRRA DR, WANAQUE, NJ 07465-1036
(201) 888-9824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00708400
NJ
Other
Enumeration date
06/10/2022
Last updated
06/16/2022
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