Person

Matthew A Roman

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: PROMISe #: 102943161

Sanctions and listings2

  • Effective
    2 Apr 2021
    Ended
    15 May 2024

    Official designation

    Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    Medicaid termination effective date - 04/02/2021- Pennsylvania Active Reporting Only

    medicaid.dhss.delaware.gov

  • Effective
    2 Apr 2021

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited States

    pa.gov

Identifiers2

IdentifierNumber
ID numberMD452451
NPI number1558649061

Addresses1

  • Philadelphia, PA

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