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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Domenick Braccia | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Domenick | [sources] | |||
| ID Number | OS006737L | [sources] | |||
| Last name | Braccia | [sources] | |||
| NPI | 1821178005 | [sources] | |||
| Title | DO | [sources] | |||
| Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | (NJ), (NJ) · JOINT BASE MDL, NJ 08640, USA · P O BOX 2000, #77212-066, JOINT BASE MDL, NJ 08640 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
us-medpa-f7c42b6c3afeac9ef19c8207c3487a1b73db41c3 · us-fed-excl-domenick-braccia-08640-joint-base-mdlFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (NJ), (NJ) · NJ, NJ | United States of America | |
| United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States of America | Department of Human Services | - | - |
| United States of America | OPM | Reciprocal | - |