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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 of America				[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	2025-10-01	First seen	2024-09-02

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

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

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

United States of America · OMIG

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

United States of America · OIFP

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

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