Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | BEECHER GEORGE · BEECHER, GEORGE | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
ID Number | 00112286 | [sources] | |||
NPI | 1073574059 | [sources] | |||
Sector | MD · Physician | [sources] | |||
Status | not available | [sources] | |||
Address | 137 EVERGREEN AVENUE, NW PROVIDENCE, NJ 07974 | [sources] | |||
Last change | Last processed | First seen |
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
us-medny-d9f0d819ee40f214734c9395efd14c3fa9c7057c
· us-mednj-3aa30627f4eb00ee24e0db4dd14ae29bbf0b0625
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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 | |
137 EVERGREEN AVENUE, NW PROVIDENCE, NJ 07974 | United States of America |
United States of America | New Jersey Office of the State Comptroller | - |
United States of America | New Jersey Office of the State Comptroller | - | - |