Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | FUKUCHI, STEVEN G. · Steven G. Fukuchi | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Steven | [sources] | |||
ID Number | MD067933L | [sources] | |||
Last name | Fukuchi | [sources] | |||
Middle name | G. | [sources] | |||
NPI | 1902875990 | [sources] | |||
Sector | MD | [sources] | |||
Title | MD | [sources] | |||
Address | 236 STAMPER STREET, PHILADELPHIA, PA 19147 · Philadelphia, PA | [sources] | |||
Last change | Last processed | First seen |
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-medpa-0f4d140a9fff868b3321ddc76acf46dd8053b9cd
· us-mednj-53c7b48d836d1f17c3a2399741aeceaa43295da0
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Philadelphia, PA | United States of America | |
236 STAMPER STREET, PHILADELPHIA, PA 19147 |
United States of America | New Jersey Office of the State Comptroller | - | - |