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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | MOSSAVI AHMAD · MOSSAVI, AHMAD | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| ID Number | 00193136 | [sources] | |||
| NPI | 1629046248 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Status | not available | [sources] | |||
| Address | 7 MALKE DRIVE, OCEAN, NJ 07712 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
us-mednj-fa37f9b73e271342a849298969298500a17eedd4 · us-medny-0aa85166270d8040d1fb5892a708819c5d7746a5For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | New York State Office of the Medicaid Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 7 MALKE DRIVE, OCEAN, NJ 07712 | United States of America | |
| United States of America | New Jersey Office of the State Comptroller | - | - |