Statements: DESTASIO, VINCENT

Canonical ID: us-mednj-7b261a5164883c53335b307a442768209c7c5b40 · Entity type: LegalEntity (reference)

PropertyValueLangSource datasetSource IDFirst seen
LegalEntity:address1851 HOOPER AVENUE, TOMS RIVER, NJ 08753engus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:addressEntityaddr-3c500119fa56b8d81d5b7ac5486f797db257726bengus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:countryusengus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:idfb6dcdf21bb83f0c995a99e6069d396fe6d0e8b0engus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:ide911f8149561f665191f3f0b90033fae68d8c438engus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:nameDESTASIO, VINCENTengus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:npiCode1043215650engus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:sectorMDengus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
LegalEntity:topicsdebarmentengus_nj_med_exclusionsus-mednj-7b261a5164883c53335b307a442768209c7c5b40
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