Jerry Gluckman
Debarred entityUnited States. Named in 2 sanctions listings.
Summary
License number: C1-0002836
Sanctions and listings2
- Effective
- 18 Sep 2018
Official designation
Delaware Board of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States
Manage Care Reporting Only-Active for all Taxonomies. Consent Agreement - Letter of Reprimand, 6 month probation
- Effective
- 18 Sep 2018
- Ended
- 18 Mar 2019
Official designation
DE BRD of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States
Provider had Letter of Reprimand and remedial education 2/2/16. Probation starting date 9/18/2018. An additional letter of reprimand and probation starting date 9/18/2018 for period of 6 months
Positions held1
Period not retained
MD
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1629070370 |
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