| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | SOLOMONOV MIKHAIL · SOLOMONOV, MIKHAIL | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [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 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-cb3e484215ce5e7478e9f3ddf5ac71a0be204f21 · us-mednj-194736b86397080f147801f4d26ec6b345bccf68For 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 | |
| 9 HAMILTON DRIVE SOUTH, NORTH CALDWELL, NJ 07006 | United States | |
| United States | New York State Office of the Medicaid Inspector General | - | - |