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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Marc C. Watson · WATSON, MARC · WATSON, MARC C. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Marc | [sources] | |||
| ID Number | MD036301E | [sources] | |||
| Last name | Watson | [sources] | |||
| Middle name | C. | [sources] | |||
| NPI | 1578605929 | [sources] | |||
| Sector | MD | [sources] | |||
| Title | MD | [sources] | |||
| Address | 6 POMPTON AVENUE, SUITE 11, CEDAR GROVE, NJ 07009 · 912 POMPTON AVENUE, #9B1, CEDAR GROVE, NJ 07009 · Out-of-State, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-b3e52d329b8fd5aba24bfa8fcdf208287e16b395 · us-mednj-af6cb598c609cc16aa45199bafe3577444bece2d · us-medpa-b32e522459c485e3b9e72303d284149f48ba44fdFor 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 | |
| 6 POMPTON AVENUE, SUITE 11, CEDAR GROVE, NJ 07009 | United States | |
| United States | Department of Human Services | - | - |
| United States | New Jersey Office of the State Comptroller | - |
| Out of state, PA · Out-of-State, PA · out of state, PA | United States |
| 912 POMPTON AVENUE, #9B1, CEDAR GROVE, NJ 07009 | United States |