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ADDIS, DAVID J.

Debarred entity

ADDIS, DAVID J. is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	ADDIS, DAVID J.				[sources]
Legal form	not available				[sources]
Country	United States				[sources]
NPI	`1770656068`				[sources]
Sector	MD				[sources]
Status	not available				[sources]
Address	334 FARNSWORTH AVENUE, BORDENTOWN, NJ 08505				[sources]
Last change	2024-11-08	Last processed	2026-02-15	First seen	2024-11-08

Sanctions
Country	Authority	Program	Start date	End date
United States	New Jersey Office of the State Comptroller		2015-01-20	-

Address
Full address	Country
334 FARNSWORTH AVENUE, BORDENTOWN, NJ 08505	United States

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

United States · OIFP

Source data IDs: us-npi-1770656068 · us-mednj-ca9f13e854b39dc4e3706b1330c996020b3140c8

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