Individual
DR. CARLOS MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 STEPHEN STREET, MONTCLAIR, NJ 07042-5032
(973) 509-2408
(973) 509-2408
Mailing address
26 STEPHEN STREET, MONTCLAIR, NJ 07042-5032
(973) 509-2408
(973) 509-2408
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
25MA08053200
NJ
2084P0800X
Psychiatry Physician
0197502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01662440
—
NY
Enumeration date
11/17/2006
Last updated
09/11/2025
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