Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | EATOUGH, PHILIP · Philip B. Eatough | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Philip | [sources] | |||
ID Number | OS002936L | [sources] | |||
Last name | Eatough | [sources] | |||
Middle name | B. | [sources] | |||
NPI | 1972681674 | [sources] | |||
Sector | DO | [sources] | |||
Title | DO | [sources] | |||
Address | 5 SYCAMORE LANE, RUMSON, NJ 07748 · Union, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-069755766365f45e79138233baba984232b07fc6
· us-medpa-2c025b5c9c39d41774c99230592ba198e2e2ff19
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
5 SYCAMORE LANE, RUMSON, NJ 07748 | United States of America |
United States of America | Department of Human Services | - | - |
Union, PA | United States of America |