Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | EZELL, PAUL · Paul C. Ezell | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Paul | [sources] | |||
ID Number | MD025524E | [sources] | |||
Last name | Ezell | [sources] | |||
Middle name | C. | [sources] | |||
NPI | 1235130741 | [sources] | |||
Sector | MD | [sources] | |||
Title | MD | [sources] | |||
Address | 251 SAGAMORE ROAD, HAVERTOWN, PA 19083 · Delaware, 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-mednj-28746bf2b1c77f978d792b566b39e162d17f27cc
· us-medpa-fac28b78cc521f4b9b42168cc5eb14279d145be2
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
251 SAGAMORE ROAD, HAVERTOWN, PA 19083 | United States of America |
United States of America | Department of Human Services | - | - |
Delaware, PA | United States of America |