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KRIVOSHIK, MARK

Debarred entity

KRIVOSHIK, MARK is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	KRIVOSHIK, MARK · Mark P. Krivoshik				[sources]
Birth date	not available				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
First name	Mark				[sources]
ID Number	`MD039691E`				[sources]
Last name	Krivoshik				[sources]
Middle name	P.				[sources]
NPI	`1669409306`				[sources]
Sector	MD				[sources]
Title	MD				[sources]
Address	(NJ), (NJ) · 16 YEGER DRIVE, ALLENTOWN, NJ 08501				[sources]
Last change	2024-11-29	Last processed	2025-10-02	First seen	2024-10-01

Sanctions
Country	Authority	Program	Start date	End date
United States of America	New Jersey Office of the State Comptroller		2015-11-20	2020-10-27

Address
Full address	Country
(NJ), (NJ) · NJ, NJ	United States of America

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

United States of America · OIFP

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

United States of America · DHS

Source data IDs: us-medpa-161154e7e9028871e09d66c995aa6c2402dc6989 · us-mednj-cee09822984f806c5ff82356e2c6add2a5f0100a

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