| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | BERMAN LARRY · BERMAN, LARRY R. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [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 disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medny-8b46c076a6fb9a6fa692f3c09296e9ae54fa5c5b · us-mednj-96873dbdf13bf97e294a0e015c141144e4d0d43cFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 308 RARITAN AVENUE, HIGHLAND PARK, NJ 08904 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |
| United States | New York State Office of the Medicaid Inspector General | - | - |