Type not stated
Screen this subjectWALTERS SAMUEL R MD
Debarred entityUnited States. Named in 2 sanctions listings.
Sanctions and listings2
- Effective
- 22 Sep 2016
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 8 Apr 2025
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00115662 |
| NPI number | 1144368606 |
Other names1
Also known as1
WALTERS, SAMUEL R.
Addresses1
215 FOX HILL RUN, ROCK TAVERN, NY 12575
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