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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | BAMDAD, BABAK | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1285950642 | [sources] | |||
| Sector | RPH | [sources] | |||
| Status | not available | [sources] | |||
| Address | 2 SOUTH GATE ROAD, APT. 736, GREAT NECK, NY 11023 · 333 RIVER STREET, HOBOKEN, NJ 07030 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-edfa94d47671a0ca51ac3360089ae5113f9a4106 · us-mednj-844e4d46ef067cebf29c5ecf93ff5856b9a70f75For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | ||||
| Address | ||
|---|---|---|
| Full address | Country | |
| 2 SOUTH GATE ROAD, APT. 736, GREAT NECK, NY 11023 | United States | |
| United States | New Jersey Office of the State Comptroller | - |
| 333 RIVER STREET, HOBOKEN, NJ 07030 | United States |