| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Angelica Bagdasarova · BAGDASAROVA, ANGELICA | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Angelica | [sources] | |||
| ID Number | RN548641 | [sources] | |||
| Last name | Bagdasarova | [sources] | |||
| Sector | RN | [sources] | |||
| Title | RN | [sources] | |||
| Address | 11981 AUDUBON AVENUE, PHILADELPHIA, PA 19116 · Philadelphia, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-medpa-35dca8e36753422617af35a414127b544051cd30 · us-mednj-8631b8565e16c62d9926f9e797f2e8239a3d51fb · us-fed-excl-angelica-bagdasarova-19116-philadelphiaFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Philadelphia, PA | United States | |
| 11981 AUDUBON AVENUE, PHILADELPHIA, PA 19116 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |