Type not stated

DEGUZMAN DAISY MD PA

Debarred entity

United States. Named in 2 sanctions listings.

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Sanctions and listings2

  • Effective
    2 May 2013

    Official designation

    New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States

    omig.ny.gov

  • Effective
    20 Feb 2014
    Ended
    22 Sep 2020

    Official designation

    New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States

    DISQUALIFICATION

    nj.gov

Identifiers2

IdentifierNumber
ID numberNJ025987
NPI number1699865097

Other names1

Also known as1

DEGUZMAN, DAISY

Addresses1

  • 111 MULBERRY STREET, NEWARK, NJ 07102

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