Canonical ID: us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 204 DALE ROAD #1, MOUNT HOLLY, NJ 08060 | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:addressEntity | addr-544170c3f04afec3d26db2a0fe936dfee1e2c6b3 | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:id | 513322e4c31fe6f4eb09cab3ed394e76d38371f8 | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:name | PETTIS, LARRY | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:npiCode | 1053433276 | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-379c115d3ce34afb01bfd21de15d4fb2f255d70e | |||