| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | MATHEW REX GEORGE · MATHEW, REX · Rex Mathew | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Rex | [sources] | |||
| ID Number | 00274821 · MD422922 · PROMISe# 101299576` | [sources] | |||
| Last name | Mathew | [sources] | |||
| NPI | 1336164862 | [sources] | |||
| Sector | 207P00000X, 207Q00000X, 208000000X, 207W00000X · MD · Physician | [sources] | |||
| Address | (NJ), (NJ) · 17608 PRINCE EDWARD DRIVE, OLNEY, MD 20832 · 2301 SOUTH BROAD STREET, PHILADELPHIA, PA 19148 | [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
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medde-12e8422f95bc630ad94ea7ed53313fc4fdf33410 · us-mednj-0481b803821cb0a322dd8b864b06e98f1085b8ca · us-medpa-58d902860e10628633659fda391326b1527ae42d · us-mednj-60d6d629f002c429d901d04d31b55c79ef458005 · us-medny-583dc53f33c23b4cf2888eb69f7c373018acdfc4For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 17608 PRINCE EDWARD DRIVE, OLNEY, MD 20832 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | Department of Human Services | - | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |
| 2301 SOUTH BROAD STREET, PHILADELPHIA, PA 19148 | United States |
| (NJ), (NJ) · NJ, NJ | United States |