| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | LINK, TIMOTHY | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1477767705 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 63 MONMOUTH PARKWAY, MONMOUTH BEACH, NJ 07750 · 904 SYCAMORE AVENUE, TINTON FALLS, NJ 07724 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-0228a03e675a99fef6ec63f9169aee49e18d4768 · us-mednj-c66afd119e79c2fb6c91fba514b639ac576245d2For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | ||||
| Address | ||
|---|---|---|
| Full address | Country | |
| 904 SYCAMORE AVENUE, TINTON FALLS, NJ 07724 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - | 
| 63 MONMOUTH PARKWAY, MONMOUTH BEACH, NJ 07750 | United States |