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IVANOV ALEXANDER

Debarred entity

IVANOV ALEXANDER is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	IVANOV ALEXANDER · IVANOV, ALEXANDER				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
ID Number	`00205206`				[sources]
NPI	`1790825222`				[sources]
Sector	MD · Physician				[sources]
Status	not available				[sources]
Address	178 WATER STREET, PERTH AMBOY, NJ 08861				[sources]
Last change	2025-07-10	Last processed	2025-12-01	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States	New Jersey Office of the State Comptroller		2024-09-15	-

Address
Full address	Country
178 WATER STREET, PERTH AMBOY, NJ 08861	United States

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

Source data IDs: us-medny-c568ff202b66fd81e1eae95f728e688e046e32c1 · us-mednj-ac6ad6f0160906c9f91ddd1f3ff17a8a56d7f5a9

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