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GONZALEZ, MIGUEL A.

Debarred entity

GONZALEZ, MIGUEL A. is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	GONZALEZ, MIGUEL A. · Miguel A. Gonzalez				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States				[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	2024-11-29	Last processed	2025-11-15	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States	New Jersey Office of the State Comptroller		2022-04-10	-

Address
Full address	Country
P.O. BOX 208, HELLERTOWN, PA 18055	United States

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

Source data IDs: us-medpa-d42602b2b71e05791798523385d09656c8fc500b · us-mednj-07a6c8265763ad23b9466c67791a5af6fc1fbe1a

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