Person

Joseph Russino

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: PROMISe# 001041554

Sanctions and listings2

  • Effective
    15 Oct 2020

    Official designation

    Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded

    pa.gov

  • Effective
    9 Apr 2020

    Official designation

    Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    Billing privileges in Medicare Program revoked; Termination effective date - 10/15/2020 Pennsylvania

    medicaid.dhss.delaware.gov

Identifiers2

IdentifierNumber
ID numberMD027472E
NPI number1134169972

Addresses1

  • Delaware, PA

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