COLETTI, ROGER
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: C10008367
License number: CSR#MD5370
Sanctions and listings2
- Effective
- 2 Apr 2019; 10 Jan 2020
Official designation
Delaware Board of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States
TERMNATION in DMES Medicare Crossover, Lab Services, Vaccines, Practitioner-Active, Managed Care-Reporting Only Active Consent Agreement- Probation-Not Allowed to Bill for services
- Effective
- 5 Jan 2018
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1770508053 |
Other names1
Also known as1
Addresses1
324 CAPTAINS CL., LEWES, DE 19958
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