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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | PETTIS, LARRY | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1053433276 | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | 204 DALE ROAD #1, MOUNT HOLLY, NJ 08060 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-npi-1053433276 · us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70eFor experts: raw data explorer
/match API function when implementing a screening system.GET https://api.opensanctions.org/entities/NK-CrhRYWGd4qUm4JbqpmHmGj?nested=true
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 204 DALE ROAD #1, MOUNT HOLLY, NJ 08060 | United States | |