Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | ALAN, DAVID · David P. Alan | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [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 disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-018ce655247f2d48ea1cb39806f35da39c86a328
· us-mednj-a8248b946382bf8a9f0813398a6f156259bcbb96
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Fayette, PA | United States of America | |
203 NORTH REDWOOD STREET, MASONTOWN, PA 15461 |
United States of America | New Jersey Office of the State Comptroller | - | - |