Mora, Carlos

Mora, Carlos is an individual health care provider with primary practice located at 26 Stephen Street , Montclair NJ 07042-5032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Mora, Carlos can be contacted via phone (973) 509-2408.

Contact Information

Primary practice address
26 Stephen Street Montclair NJ 07042-5032
Phone: (973) 509-2408
Fax: (973) 509-2408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 25MA08053200 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0197502 New York

Profile Details

NPI number 1437223161
LBN Legal business name Mora, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437223161 NPPES
New York MEDICAID 01662440

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