| | Physician Last Name: | Midwood Medical Care |
| | Physician First Name: | PC |
| | Physician Middle Name: | |
| | Address: | 18 Scotland Drive
Livingston, NJ 07039 |
| | License Number: | 143817 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 05/18/2009 |
| | Action Description for DOH Webpage: | Annullment of certificate of incorporation pursuant to Section 1503 of the Business Corporation Law. |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge of the corporation failing to comply with Section 1503 of the Business Corporation Law in violation of New York State Education Law Section 6530(16) |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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