Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | SOLOMONOV MIKHAIL · SOLOMONOV, MIKHAIL | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
ID Number | 00249031 | [sources] | |||
NPI | 1225095672 | [sources] | |||
Sector | MD · Physician | [sources] | |||
Status | not available | [sources] | |||
Address | 9 HAMILTON DRIVE SOUTH, NORTH CALDWELL, NJ 07006 | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-194736b86397080f147801f4d26ec6b345bccf68
· us-medny-cb3e484215ce5e7478e9f3ddf5ac71a0be204f21
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
9 HAMILTON DRIVE SOUTH, NORTH CALDWELL, NJ 07006 | United States of America |
United States of America | New York State Office of the Medicaid Inspector General | - | - |