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DEGUZMAN DAISY MD PA

Debarred entity

DEGUZMAN DAISY MD PA is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	DEGUZMAN DAISY MD PA · DEGUZMAN, DAISY				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
ID Number	`NJ025987`				[sources]
NPI	`1699865097`				[sources]
Sector	MD · Physician				[sources]
Status	not available				[sources]
Address	111 MULBERRY STREET, NEWARK, NJ 07102				[sources]
Last change	2024-11-08	Last processed	2026-01-15	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States	New York State Office of the Medicaid Inspector General		2013-05-02	-

Address
Full address	Country
111 MULBERRY STREET, NEWARK, NJ 07102	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-mednj-2ead71b04df99c2446ef12078ac4b50de8a731fc · us-medny-6c3c44cfa1a3d05e65d8efa1286d082c75be325d

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