Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | GONZALEZ, MIGUEL A. · Miguel A. Gonzalez | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Miguel | [sources] | |||
ID Number | MD028552E | [sources] | |||
Last name | Gonzalez | [sources] | |||
Middle name | A. | [sources] | |||
NPI | 1275543340 | [sources] | |||
Sector | MD | [sources] | |||
Title | MD | [sources] | |||
Address | Northampton, PA · P.O. BOX 208, HELLERTOWN, PA 18055 | [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-medpa-d42602b2b71e05791798523385d09656c8fc500b
· us-mednj-07a6c8265763ad23b9466c67791a5af6fc1fbe1a
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
P.O. BOX 208, HELLERTOWN, PA 18055 | United States of America |
United States of America | New Jersey Office of the State Comptroller | - | - |
Northampton, PA | United States of America |