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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | WERTHEIM, MARC | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1306910427 | [sources] | |||
| Sector | DDS | [sources] | |||
| Status | not available | [sources] | |||
| Address | 24 MERCHANTS WAY, COLTS NECK, NJ 07722 · 80 E. JOSEPH STREET, MOONACHIE, NJ 07074 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-522e27ac02c8e60a169ab0675dc582bcdd2309ce · us-mednj-d716a209d1ff611ae17b344ff849e9a56ba202c6For 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 | |
| 24 MERCHANTS WAY, COLTS NECK, NJ 07722 | United States of America | |
| United States of America | New Jersey Office of the State Comptroller | - | - |
| 80 E. JOSEPH STREET, MOONACHIE, NJ 07074 | United States of America |