| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | EZELL, PAUL · Paul C. Ezell | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [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 · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-28746bf2b1c77f978d792b566b39e162d17f27cc · us-medpa-fac28b78cc521f4b9b42168cc5eb14279d145be2For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Delaware, PA | United States | |
| 251 SAGAMORE ROAD, HAVERTOWN, PA 19083 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |