TADEUSZ BASECKI — OIG Excluded Provider (CLIFFSIDE PARK, NJ, 1128b4)
TADEUSZ BASECKI — OIG Excluded Provider (CLIFFSIDE PARK, NJ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: TADEUSZ BASECKI; Type: Individual; Provider category: MEDICAL PRACTICE, MD.
| Name | TADEUSZ BASECKI |
|---|---|
| Type | Individual |
| Provider category | MEDICAL PRACTICE, MD |
| Specialty | GENERAL PRACTICE/FP |
| City | CLIFFSIDE PARK |
| State | NJ |
| ZIP | 07010 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1998-03-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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