| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | FOX, SUSAN · Susan A Fox | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Susan | [sources] | |||
| ID Number | DS037400 | [sources] | |||
| Last name | Fox | [sources] | |||
| Middle name | A | [sources] | |||
| NPI | 1952661472 | [sources] | |||
| Sector | DMD | [sources] | |||
| Title | DMD | [sources] | |||
| Address | 2300 WALNUT STREET, PHILADELPHIA, PA 19103 · Philadelphia, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-mednj-1bab4d2f36fbce508704acfc893d29194a901e70 · us-medpa-ec043e99d3e6a952249434fe302ed22536b15a5fFor 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 | |
| 2300 WALNUT STREET, PHILADELPHIA, PA 19103 | United States | |
| United States | Department of Human Services | - | - |
| Philadelphia, PA | United States |