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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John F. Penfield · PENFIELD, JOHN | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | John | [sources] | |||
| ID Number | 218868 (NY) | [sources] | |||
| Last name | Penfield | [sources] | |||
| Middle name | F. | [sources] | |||
| NPI | 1528078839 | [sources] | |||
| Sector | DO | [sources] | |||
| Title | DO | [sources] | |||
| Address | (NY), (NY) · 25 POCONO ROAD, DENVILLE, NJ 07834 · 308 MURRAY HILL ROAD, VESTAL, NY 13850 | [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-4a70a42d487ed8e0d1b55a894bfaad4e8e64c0d9 · us-medpa-635f5f3ee80ef75bb3cdcf00d3fd9469f6b1c044 · us-mednj-a6424281dc01e185890d6aaece8db11f6f4377efFor 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 | |
| (NY), (NY) · NY, NY | United States | |
| United States | Department of Human Services | - | - |
| United States | New Jersey Office of the State Comptroller | - |
| United States |
| 308 MURRAY HILL ROAD, VESTAL, NY 13850 | United States |