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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | CASTANEDA, JOSE E. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1699840264 | [sources] | |||
| Sector | APN | [sources] | |||
| Status | not available | [sources] | |||
| Address | 1925 PACIFIC AVENUE, ATLANTIC CITY, NJ 08401 · 194 E. 7TH STREET, CLIFTON, NJ 07011 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-a967bb81817766b03272e991b89ffa8001fd1cb1 · us-mednj-a50cdfa2913a56dd7ec4893bf6357f2d7879e15fFor 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 | |
| 1925 PACIFIC AVENUE, ATLANTIC CITY, NJ 08401 | United States | |
| United States | New Jersey Office of the State Comptroller | - |
| 194 E. 7TH STREET, CLIFTON, NJ 07011 | United States |