Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | BERMAN LARRY · BERMAN, LARRY R. | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States of America | [sources] | |||
ID Number | 00036499 | [sources] | |||
NPI | 1326191347 | [sources] | |||
Sector | DDS · Dentist | [sources] | |||
Status | not available | [sources] | |||
Address | 308 RARITAN AVENUE, HIGHLAND PARK, NJ 08904 | [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-96873dbdf13bf97e294a0e015c141144e4d0d43c
· us-medny-8b46c076a6fb9a6fa692f3c09296e9ae54fa5c5b
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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 | |
308 RARITAN AVENUE, HIGHLAND PARK, NJ 08904 | United States of America |
United States of America | New Jersey Office of the State Comptroller | - | - |
United States of America | New York State Office of the Medicaid Inspector General | - | - |