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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | JAFARI, MARYAM | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1831276880 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 176 BLOOMFIELD AVENUE, NEWARK, NJ 07104 · 80 LINDEN STREET, APT. M, MILLBURN, NJ 07041 | [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-9b2c102b9e506f987bab8603791b5b6a067cb31f · us-mednj-18ed99fd9b07b8b68e244d62b255f475e628891fFor 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 | |
| 176 BLOOMFIELD AVENUE, NEWARK, NJ 07104 | United States | |
| United States | New Jersey Office of the State Comptroller | - |
| 80 LINDEN STREET, APT. M, MILLBURN, NJ 07041 | United States |