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Individual

MAYUMI A. MORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
218 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-2109
(973) 326-8895
(973) 326-6805
Mailing address
1265 15TH ST, APT 11G, FORT LEE, NJ 07024-1958
(973) 326-8895
(973) 326-6805

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MA64405
NJ
207W00000X
Ophthalmology Physician
Primary
25MA06440500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000901
NJ
Enumeration date
05/24/2005
Last updated
08/01/2025
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