Canonical ID: us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 616 EAST LANCASTER AVENUE, BERWYN, PA 19312 | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:addressEntity | addr-51b232c22dea1f190092db5f1b223a20f2625543 | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:id | 5959a3dde6831e8a47439951c4a28c4e5cf07e56 | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:name | GRETZULA, CHAD | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:npiCode | 1558422311 | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:sector | DMD | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-cc3e633877baa2a2f4dd2f022c2820c64ecb3a01 |