MARK R FANTAUZZI HHS-OIG excluded

Excluded under 1128b4 · License revocation, suspension or surrender (permissive) · effective 2013-04-18

What this means

This provider is excluded from participation in all US federal healthcare programs (Medicare, Medicaid, TRICARE, etc.). Federal healthcare programs may not pay for any items or services furnished, ordered, or prescribed by this excluded individual.

Key facts

OIG internal ID
45103
NPI
1831179084
UPIN
F92199
General field
PHYSICIAN (MD, DO)
Specialty
ANESTHESIOLOGY
Exclusion type
1128b4
Exclusion date
2013-04-18
Last known location
PORTSMOUTH, OH, 45662

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