Type not stated

KACZKA GARY

Debarred entity

United States. Named in 2 sanctions listings.

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Sanctions and listings2

  • Effective
    30 Apr 2024

    Official designation

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

    SUSPENSION

    nj.gov

  • Effective
    11 Feb 2024

    Official designation

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

    omig.ny.gov

Identifiers1

IdentifierNumber
NPI number1790817534

Other names1

Also known as1

KACZKA, GARY

Addresses1

  • 176 OXFORD AVENUE, SADDLE BROOK, NJ 07663

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