MANION, WILLIAM
Debarred entityUnited States. Named in 3 sanctions listings.
Summary
License number: PROMIS#001400491 MA049957
Sanctions and listings3
- Effective
- 8 Mar 2018
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
TERMINATION Reporting Only-Active-Pa-NJ terminated provider agreement 03/08/2018
- Effective
- 8 Mar 2018
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
- Effective
- 8 Mar 2018
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Identifiers2
| Identifier | Number |
|---|---|
| ID number | MD029222E |
| NPI number | 1134120801 |
Other names1
Also known as1
Addresses3
33 MEADOW DRIVE, WOODSTOWN, NJ 08098
(NJ), (NJ)
NJ, NJ
United States
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