Person

NASPAC-NJ

United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    5 Nov 2024
    Ended
    25 Feb 2025

    Official designation

    Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States

    medicaid.dhss.delaware.gov

Positions held1

  1. Period not retained

    PLLC

Identifiers1

IdentifierNumber
NPI number1073857256

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