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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | CARDOSO LUCIO A · CARDOSO SR., LUCIO | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00176686 | [sources] | |||
| NPI | 1639119019 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Status | not available | [sources] | |||
| Address | 253 LAFAYETTE STREET, NEWARK, NJ 07105 · FCI FORT DIX, PO BOX 38, FORT DIX, NJ 08640 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-mednj-c11fd6377eaa17d31343679cfa056bfceca11012 · us-medny-5ddc3358edd213e7ee26336f24fba002c54cbe43 · us-mednj-3b50217d48744f2e7e7db3d4ed15b075709254d6For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New York State Office of the Medicaid Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 253 LAFAYETTE STREET, NEWARK, NJ 07105 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| FCI FORT DIX, PO BOX 38, FORT DIX, NJ 08640 | United States |