Statements: FONTANEZ, MODESTO

Canonical ID: us-mednj-14ac430e1c83975882811356b500997dc827286a · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address1838 2ND AVENUE, NEW YORK, NY 10128engus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:addressEntityaddr-1b40ca2573a5fc1df20a0044c1a1bda48dbc7fc1engus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:countryusengus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:ide12ca538a28484d765a0600f90d74f5dc32343c1engus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:nameFONTANEZ, MODESTOengus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:npiCode1851395826engus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:sectorMDengus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
LegalEntity:topicsdebarmentengus_nj_med_exclusionsus-mednj-14ac430e1c83975882811356b500997dc827286a
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