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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | BREEN, NICHOLAS · Nicholas F Breen · Nicholas F. Breen | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Nicholas | [sources] | |||
| ID Number | DS026946L | [sources] | |||
| Last name | Breen | [sources] | |||
| Middle name | F · F. | [sources] | |||
| NPI | 1730307836 | [sources] | |||
| Sector | DMD | [sources] | |||
| Title | DMD | [sources] | |||
| Address | (NJ), (NJ) · 7731 RUDDEROW AVENUE, PENNSAUKEN, NJ 08109 · 926 HADDONFIELD ROAD, CHERRY HILL, NJ 08002 · Bucks, 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-medpa-10b253fd603b577b2e9da69324b4d6a4c218c2ba · us-mednj-5468c13b87fbdcbf1d3f53be57c182175d49c84b · us-medpa-3d3ce631b2439228aaccbb923e3028fd5599e92e · us-mednj-362d97ebdecf53c302a5239c7e7c3a7f9f7facdaFor 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 | |
| 7731 RUDDEROW AVENUE, PENNSAUKEN, NJ 08109 | United States | |
| United States | Department of Human Services | - | - |
| United States | New Jersey Office of the State Comptroller | - |
| United States | Department of Human Services | - | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| Bucks, PA | United States |
| (NJ), (NJ) · NJ, NJ | United States |
| 926 HADDONFIELD ROAD, CHERRY HILL, NJ 08002 | United States |