| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John G. McIntyre Jr. · MCINTYRE, JOHN G. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | John | [sources] | |||
| ID Number | DS023368L | [sources] | |||
| Last name | McIntyre | [sources] | |||
| Middle name | G. | [sources] | |||
| NPI | 1487740718 | [sources] | |||
| Sector | DDS | [sources] | |||
| Title | DDS | [sources] | |||
| Address | 1301 PENN AVENUE, WYOMISSING, PA 19610 · Bucks, PA | [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-medpa-9e7cd0ccc89e796c9319117ba089173ab25c8eaa · us-mednj-a8ef460b923d30b9638beb52e76b0020a75fefdbFor 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 | |
| Bucks, PA | United States | |
| 1301 PENN AVENUE, WYOMISSING, PA 19610 | United States | |
| United States | Department of Human Services | - | - |