Type not stated

Susan Andrews

Debarred entity

United States. Named in 1 sanctions listing.

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Summary

License number: D67708

Sanctions and listings1

  • Effective
    20 Dec 2017

    Official designation

    Maryland Department of HealthUS Delaware Medicaid Sanctioned ProvidersUnited States

    REVOCATION Decertified/Terminated- for all Taxonomy's listed except 207RC0000X 207RG0100X 207RI0200X which are Active- Reporting only. Suspended license by Maryland Board of Physicians

    medicaid.dhss.delaware.gov

Identifiers1

IdentifierNumber
NPI number1295786184

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