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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Andrew Medvedovsky · MEDVEDOVSKY, ANDREW | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Andrew | [sources] | |||
| ID Number | 101248161 · MD468530 | [sources] | |||
| Last name | Medvedovsky | [sources] | |||
| NPI | 1649431594 | [sources] | |||
| Sector | 208VP0014X · DC | [sources] | |||
| Address | (NJ), (NJ) · 11 AUTUMN DRIVE, MOORESTOWN, NJ 08057 | [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
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medpa-37fd0ef0d110f5d1b55a9c4acdd13cdeeef2810f · us-medde-0f902191996afff1ab37bb21398e00aa49324d73 · us-mednj-b5a72d5e7d7c0cc23c769d30b6421bd542609fafFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| (NJ), (NJ) · NJ, NJ | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | Department of Human Services | - | - |
| United States |