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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | COVILLE, FREDERICK A. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1679728307 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 230 N. MAPLE AVENUE, MARLTON, NJ 08050 · 51-37 HAVENUEN AVENUE, OCEAN CITY, NJ 08226 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-c570e1bde4bbdc8ca26e8cac3bc7af7dbaedd3b2 · us-mednj-eb984610adca0f6488a876cd440e3e8642880dd0For 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 | |
| 230 N. MAPLE AVENUE, MARLTON, NJ 08050 | United States | |
| United States | New Jersey Office of the State Comptroller | - |
| 51-37 HAVENUEN AVENUE, OCEAN CITY, NJ 08226 | United States |