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Family Dermatology of Pennsylvania, PC

Debarred entity

Family Dermatology of Pennsylvania, PC is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Family Dermatology of Pennsylvania, PC				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
ID Number	`None`				[sources]
NPI	`1669482105`				[sources]
Registration number	not available				[sources]
Tax Number	`205288226`				[sources]
Last change	2024-10-01	Last processed	2024-10-20	First seen	2024-10-01

Address
Full address	Country
(GA), (GA) · GA, GA	United States

Sanctions
Authority	Program	Start date	End date
Department of Human Services	-	2016-05-18	-

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

United States · DHS

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