Canonical ID: us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 7624-A BRISLIN ROAD, #7, STROUDSBURG, PA 18360 | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:addressEntity | addr-167b642ff9ff11215476676e17bc0002f8d30459 | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:id | bce114fb2b57a1efd4467567eef417898e14bf7c | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:name | MAHAJAN, SHYAM S. | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:npiCode | 1144496449 | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-14e37e10dbfe388dee73086a4f17b822a3a9b986 |