| 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 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-mednj-8e6e6acbe917d6163d9a5555383132734176d915 · us-medpa-3fd4ae3a78792b43e477d0725cb6e13e0c7ef913 · us-mednj-bd83e8bea090f97cbbb0addc3968fd12519dcc4dFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 38 ORIOLE DRIVE, HACKETTSTOWN, NJ 07840 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | New Jersey Office of the State Comptroller | - |
| 30 DUNSTON LANE, MONMOUTH, NJ 08852 | United States |
| (NJ), (NJ) · NJ, NJ | United States |