| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Bertram L. Johnson · Bertram Lee Johnson | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Bertram | [sources] | |||
| ID Number | MD012613E | [sources] | |||
| Last name | Johnson | [sources] | |||
| Middle name | L. | [sources] | |||
| NPI | 1477588218 | [sources] | |||
| Position | MD | [sources] | |||
| Address | Lancaster, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medde-e9e89fed0090a99e42df6f20032a1edc2451b3a1 · us-medpa-00f639a1d2c6c6b230ef511aba5f41dae35ebd74For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Lancaster, PA | United States | |
| United States | Pennsylvania Department of Human Services | - | - |