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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | ONYENSO, CHIKEZIE | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1578605812 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 18 EDINBURGH DRIVE, RANDOLPH, NJ 07869 · 552 MAIN STREET, CHATHAM, NJ 07928 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-743615ceeb49dd2debda4623ae250aa642e4175a · us-mednj-34c4b055347651111be610cdc53def39b7930b15For 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 | |
| 552 MAIN STREET, CHATHAM, NJ 07928 | United States | |
| United States | New Jersey Office of the State Comptroller | - |
| 18 EDINBURGH DRIVE, RANDOLPH, NJ 07869 | United States |