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INNOCENZI, ANTHONY E

Debarred entity
TypePerson[sources]
NameAnthony E. Innocenzi · Anthony Innocenzi · INNOCENZI, ANTHONY · INNOCENZI, ANTHONY E[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
DescriptionLicense number: 2007027375 · Provider ID: 2046191[sources]
First nameAnthony[sources]
ID NumberSC004675R[sources]
Last nameInnocenzi[sources]
Middle nameE.[sources]
NPI1255336079[sources]
Sector30-PODIATRIST · 36 - Podiatrist Individual · DPM[sources]
Address(OH), (OH) · 7972 AQUADALE DRIVE, YOUNGSTOWN, OH 44512[sources]
Last changeLast processedFirst seen

Relationships

Data sources

US Pennsylvania Medicheck list5,994

Medical providers who are precluded from participation in the Medical Assistance Program

United States · DHS

US New Jersey Ineligible Medicaid Providers7,267

Medical providers disqualified from participating in New Jersey State's Medicaid program.

United States · OIFP

US Missouri Medicaid Provider Terminations251

Medical providers suspended from Missouri's Medicaid program.

United States · MMAC

US Ohio Medicaid Excluded and Suspended Providers2,149

Medical providers excluded or suspended from Ohio's Medicaid program.

United States · ODM

Source data IDs: us-medpa-127ff534f19252aa859b92a368798d539beca2cc · us-medpa-144c4c557724cfccb309681d15eaa89a71f405c5 · NK-ZJTEcWw6YPJM4uYb7h4P3K · us-medmo-238a4bf9d8bcace5ef7e7ff36ba2ad78b9b8665d · us-medoh-be9fc80c61b6b3fb7ce3ff2bfba3a4e02413c664 · us-mednj-be48c1e7f0b33f1bf67efadcd435208a2384fcd6

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FactsheetData sources
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