AMBAMA CLINIC, P C — OIG Excluded Provider (HANOVER, MA, 1128a1)
AMBAMA CLINIC, P C — OIG Excluded Provider (HANOVER, MA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: AMBAMA CLINIC, P C; Type: Entity; Provider category: PHYSICIAN PRACTICE (.
| Name | AMBAMA CLINIC, P C |
|---|---|
| Type | Entity |
| Provider category | PHYSICIAN PRACTICE ( |
| Specialty | INTERNAL MEDICINE |
| NPI | 1205992989 |
| City | HANOVER |
| State | MA |
| ZIP | 02339 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2019-06-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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