Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | GOLDIS, MICHAEL · GOLDIS, MICHAEL EDWARD | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1982603247 | [sources] | |||
Sector | DO · MD | [sources] | |||
Status | not available | [sources] | |||
Address | 36 STOKES ROAD, MOUNT LAUREL, NJ 08054 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
us-mednj-ea036c2db95c9a4a5041f9b55ed095dc6d419e0c
· us-mednj-acfc763296d357480c7ec6454621215312f560c4
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
36 STOKES ROAD, MOUNT LAUREL, NJ 08054 | United States |