All Medicaid billing entities listing TAVARES, DANIEL (ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Connecticut | 1 | $42K |
| New Jersey | 1 | $36K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FREDERICK RAY PHARMACY LLC | MOODUS, CT | Pharmacy | $42K |
| 2 | GRACE ELDERCARE LLC | FRANKLIN, NJ | Assisted Living Facility | $36K |