Type not stated
Screen this subjectLewes Surgical Medical Assoc
Debarred entityUnited States. Named in 1 sanctions listing.
Summary
License number: 1998208382
Sanctions and listings1
- Effective
- 28 Feb 2019
Official designation
PECOSUS Delaware Medicaid Sanctioned ProvidersUnited States
REVOCATION Managed Care-Manage Care Group-Reporting Only-Active Medicaid Cert Only-Active Enrollment Revoked Status updated to Terminated effective 12/6/21
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1265461263 |
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