Canonical ID: us-mednj-696365da43ee864791ed06dd9d477528c8f98074
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 350 BLOOMFIELD AVENUE, BLOOMFIELD, NJ 07003 | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:addressEntity | addr-bc7694f995a115880f92a32b67dc2c657fd86e83 | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:id | 9edfe199cd4196a39cb5d364ddf978d897866d91 | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:name | RUSSOMANNO, RAYMOND | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:npiCode | 1093702532 | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-696365da43ee864791ed06dd9d477528c8f98074 |