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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | GREEN, JOHN N. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1114072444 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 3 PADDOCK COURT, BASKING RIDGE, NJ 07920 · 61 MAIN STREET, WEST ORANGE, NJ 07102 | [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-53cb54546e2627e70b916a97021e2bc6378f7e64 · us-mednj-afeced46b508cf563aac45abd824be64d7712a0dFor 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 | |
| 61 MAIN STREET, WEST ORANGE, NJ 07102 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| 3 PADDOCK COURT, BASKING RIDGE, NJ 07920 | United States |