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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Joseph Russino | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Joseph | [sources] | |||
| ID Number | MD027472E · PROMISe# 001041554 | [sources] | |||
| Last name | Russino | [sources] | |||
| NPI | 1134169972 | [sources] | |||
| Sector | 207V00000X | [sources] | |||
| Title | MD | [sources] | |||
| Address | Delaware, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-8d9209ce8aae6508fd12efc2bdd8f7a8b62d7aea · us-medde-66ca2f018b9427035bb20fb525d2a0e08e20dd3aFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Delaware, PA | United States | |
| United States | Pennsylvania Department of Human services | - | - |