JABAKJI MOHAMED N KAWAM
Debarred entityUnited States. Named in 4 sanctions listings.
Sanctions and listings4
- Effective
- 20 Jul 2017
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 16 May 2016
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DEBARMENT
- Effective
- 20 Jul 2017
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 Jul 2017
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Identifiers3
| Identifier | Number |
|---|---|
| ID number | 00186416 |
| ID number | 25MA06054400 (NJ) |
| NPI number | 1760541312 |
Other names2
Also known as2
Addresses3
6 BARKER PLACE, WAYNE, NJ 07470
(NJ), (NJ)
NJ, NJ
United States
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