| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | EATOUGH, PHILIP · Philip B. Eatough | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [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 · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-069755766365f45e79138233baba984232b07fc6 · us-medpa-2c025b5c9c39d41774c99230592ba198e2e2ff19For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Union, PA | United States | |
| 5 SYCAMORE LANE, RUMSON, NJ 07748 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |