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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | FAZZINI JR., ROBERT · FAZZINI ROBERT PHILLIP JR · ROBERT PHILLIP JR FAZZINI | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | ROBERT | [sources] | |||
| Last name | FAZZINI | [sources] | |||
| Middle name | PHILLIP JR | [sources] | |||
| NPI | 1962771923 | [sources] | |||
| Sector | Pharmacist · RPH | [sources] | |||
| Position | PHARMACIST (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 27 HAWTHORN DRIVE, SUITE 2, SUCCASUNNA, NJ 07876 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-mednj-d7a8ce9f86e694d632b44c0dc31c0e04677c6115 · us-fed-excl-robert-phillip-jr-fazzini-07876-succasunna · us-mednj-bb6f69643baf9974a27571c71b0ddd61f185de3f · us-medny-59da6f0b572972ee0214198432b7c5ec23a902a1 · us-mednj-18f8d3171fa8182ed345db96821df38cca959486For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 27 HAWTHORN DRIVE, SUITE 2, SUCCASUNNA, NJ 07876 | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |