Henry G. Dela Torre
Debarred entityBorn 23 Jun 1949 (77 years old),United States. Named in 4 sanctions listings.
Summary
License number: PROMISe#: 000883722
Sanctions and listings4
- Effective
- 19 Jan 2023
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and MA excluded indefinite
- Effective
- 19 Jan 2023
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a2
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 19 Jan 2023
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 22 Jan 2018
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Positions held1
Period not retained
GENERAL PRACTICE (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD027890E |
| NPI number | 1356355218 |
Other names1
Also known as1
Addresses2
578 TREASURE LAKE, DU BOIS, PA 15801
Clearfield, PA
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