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BOLES MARK GORDON

Debarred entity

BOLES MARK GORDON is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	BOLES MARK GORDON · Mark G. Boles				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Mark				[sources]
ID Number	`00209588` · `MD041044L`				[sources]
Last name	Boles				[sources]
Middle name	G.				[sources]
NPI	`1164548020`				[sources]
Sector	Physician				[sources]
Address	Allegheny (02), PA				[sources]
Last change	2024-11-29	Last processed	2025-12-01	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Human Services		2016-12-12	-

Address
Full address	Country
Allegheny (02), PA	United States

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Source data IDs: us-medpa-4b5e95f5ab3cd2d259e45dfb87424a66ee9339bc · us-medny-3cf98669fb2ec750a8ff4aa0cdfddfb7203c0283

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