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LESLIE, GLENN R.

Debarred entity
TypePerson[sources]
NameGlenn R Leslie · Glenn R. Leslie · LESLIE GLENN R · LESLIE, GLENN R.[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameGlenn[sources]
ID Number00173072[sources]
Last nameLeslie[sources]
Middle nameR · R.[sources]
NPI1285712950[sources]
SectorDO · Physician[sources]
TitleDO[sources]
Address(NJ), (NJ) · 10 FRANKLIN TURNPIKE, MAHWAH, NJ 07430 · 245 WOODLAND AVENUE, RAMSEY, NJ 07446 · FMC - LEXINGTON, PO BOX, LEXINGTON, KY 40512 · Out of State, Out of State[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US New York State Medicaid Exclusions8,711

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

United States · OMIG

US Pennsylvania Medicheck list5,994

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

United States · DHS

US New Jersey Ineligible Medicaid Providers7,267

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

Source data IDs: us-mednj-74358c8d6e1936d10f4e217e6f508521b7ceb664 · us-medpa-cfa891c99fcedd309bab5c0ac9332ff1945b3e3f · us-medpa-82d15250e3cf2f0d75d641b08bef664995d8ca7c · us-medny-0cbb4902063208e1ed9d433889826194f5989711 · us-mednj-bc845d4267e45b4c31d8120cf18d67fbe6d89487 · us-mednj-7ea7d7954f786d678beb93823dab172adaae7730 · NK-HDe52rS8rp3aivVzCX9ZuH

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FactsheetData sources
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