Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | AZAM, CHOWDHURY F. · Chowdhury Azam | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Chowdhury | [sources] | |||
ID Number | MD055658L | [sources] | |||
Last name | Azam | [sources] | |||
NPI | 1922053792 | [sources] | |||
Sector | MD | [sources] | |||
Title | MD | [sources] | |||
Address | (NJ), (NJ) · 30 DUNSTON LANE, MONMOUTH, NJ 08852 · 38 ORIOLE DRIVE, HACKETTSTOWN, NJ 07840 | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-bd83e8bea090f97cbbb0addc3968fd12519dcc4d
· us-mednj-8e6e6acbe917d6163d9a5555383132734176d915
· us-medpa-3fd4ae3a78792b43e477d0725cb6e13e0c7ef913
For 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 | |
38 ORIOLE DRIVE, HACKETTSTOWN, NJ 07840 | United States |
United States | Department of Human Services | - | - |
United States | New Jersey Office of the State Comptroller | - |
(NJ), (NJ) · NJ, NJ | United States |
30 DUNSTON LANE, MONMOUTH, NJ 08852 | United States |