| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | LARRY J JR GOISSE · Larry J. Goisse Jr. | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Larry | [sources] | |||
| ID Number | SP014433 / RN577684 | [sources] | |||
| Last name | Goisse | [sources] | |||
| Middle name | J JR · J. | [sources] | |||
| NPI | 1437555109 | [sources] | |||
| Title | CRNP/RN | [sources] | |||
| Position | NURSE PRACTITIONER ( (IND- LIC HC SERV PRO) | [sources] | |||
| Address | (MD), (MD) · P O BOX 2000, JOINT BASE MDL, NJ 08640 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
People and companies excluded from Federally funded health care programs
United States · OIG
us-fed-excl-larry-j-jr-goisse-08640-joint-base-mdl · us-medpa-ca896e50381d92bbdac758e0df482acdeb338e6cFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (MD), (MD) · - MD, - MD · MD, MD | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |