| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Alan H Faustino · FAUSTINO, ALAN | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Alan | [sources] | |||
| ID Number | MD070683L | [sources] | |||
| Last name | Faustino | [sources] | |||
| Middle name | H | [sources] | |||
| NPI | 1669482568 | [sources] | |||
| Sector | MD | [sources] | |||
| Address | 110 WEST CHURCH STREET, ABSECON, NJ 08201 · 28 W. GILMAR CIRCLE, MARGATE CITY, NJ 08402 · 830 PLYMOUTH PLACE, UNIT 2, OCEAN CITY, NJ 08226 · NJ, NJ | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-9d5bccaac9c32f572564b5b6d7bcc4abe843045b · us-fed-excl-alan-h-faustino-08226-ocean-city · us-fed-excl-alan-h-faustino-77845-college-station · us-medpa-0016d7c530d53ba8c441853ea56a3121061912ce · NK-84dzKAac8njTtBStUEqrZU · us-mednj-38d3f4212755988c7a6332d334b53452335ac33b · us-mednj-379e8e6a64378157d40f6c7d8f2c8b8fc83820fbFor 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 | |
| 830 PLYMOUTH PLACE, UNIT 2, OCEAN CITY, NJ 08226 | United States | |
| United States | Department of Human Services | - | - |
| United States | New Jersey Office of the State Comptroller | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| 28 W. GILMAR CIRCLE, MARGATE CITY, NJ 08402 | United States |
| 110 WEST CHURCH STREET, ABSECON, NJ 08201 | United States |
| (NJ), (NJ) · NJ, NJ | United States |