| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | ALAN, DAVID · David P. Alan | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | David | [sources] | |||
| ID Number | OEG000488 | [sources] | |||
| Last name | Alan | [sources] | |||
| Middle name | P. | [sources] | |||
| NPI | 1225012073 | [sources] | |||
| Sector | OD | [sources] | |||
| Title | O.D. · OD | [sources] | |||
| Address | 203 NORTH REDWOOD STREET, MASONTOWN, PA 15461 · Fayette, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-medpa-018ce655247f2d48ea1cb39806f35da39c86a328 · us-mednj-a8248b946382bf8a9f0813398a6f156259bcbb96For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 203 NORTH REDWOOD STREET, MASONTOWN, PA 15461 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| Fayette, PA | United States |