BRIAN E ANTONELLI — OIG Excluded Provider (CHELMSFORD, MA, 1128b4)
BRIAN E ANTONELLI — OIG Excluded Provider (CHELMSFORD, MA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: BRIAN E ANTONELLI; Type: Individual; Provider category: IND- LIC HC SERV PRO.
| Name | BRIAN E ANTONELLI |
|---|---|
| Type | Individual |
| Provider category | IND- LIC HC SERV PRO |
| Specialty | NURSE/NURSES AIDE |
| City | CHELMSFORD |
| State | MA |
| ZIP | 01824 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2016-12-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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