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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Matthew A Roman | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Matthew | [sources] | |||
| ID Number | MD452451 · PROMISe #: 102943161 | [sources] | |||
| Last name | Roman | [sources] | |||
| Middle name | A | [sources] | |||
| NPI | 1558649061 | [sources] | |||
| Sector | 207R0000X | [sources] | |||
| Address | Philadelphia, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medde-3c733f3c126de9290f01fc3146dbd0f3abb04005 · us-medpa-7ca29095d17db754e29b98ff27d5ad33c3273094For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human services | ||||
| Address | ||
|---|---|---|
| Full address | Country | |
| Philadelphia, PA | United States | |
| United States | Department of Human Services | - | - |