Individual
DR. ELDA P SANCHO MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800
Mailing address
451 WALTON RD, MAPLEWOOD, NJ 07040-1119
(718) 541-2750
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
25MA08083900
NJ
2084P0800X
Psychiatry Physician
222291
NY
Other
Enumeration date
12/29/2006
Last updated
01/10/2011
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