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Individual

DR. JOSE TOMAS MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.A.

Contact information

Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(617) 710-1933
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(617) 710-1933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226434
MA
2085R0202X
Diagnostic Radiology Physician
Primary
226434
MA

Other

Enumeration date
10/10/2006
Last updated
12/01/2011
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