Gregory Villabona
Debarred entityUnited States. Named in 1 sanctions listing.
Summary
License number: C1-0004007
License number: C10004007, CSR#MD2327
Sanctions and listings1
- Effective
- 19 Mar 2018; 5 Mar 2019
Official designation
Delaware Board of Medical Licensure and DisciplineUS Delaware Medicaid Sanctioned ProvidersUnited States
TERMINATION Manage Care Reporting Only- Active, Practitioner-VFC-Med Xover-Lab Services-Terminated 1/28/17 in DMES - License Permanently revoked
TERMINATION 101Y00000X, 103T00000X, 207Q00000X, 2084P0800X Managed Care - “Reporting Only”- active VFC Labs, Medicare Crossover-Inactive Terminated Emergency Temporary Suspension
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1942268503 |
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