Person
Screen this subjectMatthew A Roman
Debarred entityUnited States. Named in 2 sanctions listings.
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
- Effective
- 2 Apr 2021
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited States
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD452451 |
| NPI number | 1558649061 |
Addresses1
Philadelphia, PA
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