FORTUNATO, FRANKLIN

Debarred entity

United States. Named in 4 sanctions listings.

Sanctions and listings4

Effective
11 Feb 2016
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
nj.gov
Effective
29 Jun 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
nj.gov
Effective
20 Jan 2016
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesExcluded
scdhhs.gov
Effective
6 Jul 2015
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov

Identifiers1

Identifier	Number
NPI number	1548278930

Other names2

Also known as2

Fortunato, Franklin DanaFORTUNATO F DANA MD

Addresses3

Montville, NJ 07045
127 PINE STREET, MONTCLAIR, NJ 07042
FMC - DEVENS, PO BOX 879, AYER, MA 01432

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