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Canonical ID: us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 1084 BRIAR WAY, FORT LEE, NJ 07024 | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||
LegalEntity:addressEntity | addr-88f3e0019159774f90bd76add5160e10169baf4a | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||
LegalEntity:id | 27efc63924d63235dc22739b1cdcb15e3bb1d977 | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||
LegalEntity:name | MARTIROSOV, ALEKSANDR | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||
LegalEntity:npiCode | 1700931185 | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||
LegalEntity:sector | DO | eng | us_nj_med_exclusions | us-mednj-067b1f89f9479f7bce3b2d5667573321b41897ff | |||