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GILLISS, ADAM

Debarred entity

GILLISS, ADAM is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Adam C Gillis · GILLISS, ADAM				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Adam				[sources]
ID Number	`OS008744L`				[sources]
Last name	Gillis				[sources]
Middle name	C				[sources]
NPI	`1982741328`				[sources]
Sector	DO				[sources]
Title	DO				[sources]
Address	27 EAST CHESTNUT AVENUE, MERCHANTVILLE, NJ 08109 · Out of State, Out of State				[sources]
Last change	2024-11-29	Last processed	2025-12-15	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Human Services		2015-12-09	-

Address
Full address	Country
27 EAST CHESTNUT AVENUE, MERCHANTVILLE, NJ 08109	United States

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

Source data IDs: us-mednj-5ad8b2ddc1b974437c834c50a1170f52e7e8d177 · us-medpa-ca9e7be2d3185784a173e621584c900ef6e2c5cd

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