Canonical ID: us-mednj-14ac430e1c83975882811356b500997dc827286a
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 1838 2ND AVENUE, NEW YORK, NY 10128 | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:addressEntity | addr-1b40ca2573a5fc1df20a0044c1a1bda48dbc7fc1 | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:id | e12ca538a28484d765a0600f90d74f5dc32343c1 | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:name | FONTANEZ, MODESTO | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:npiCode | 1851395826 | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-14ac430e1c83975882811356b500997dc827286a |