Individual
DR. FERNANDO SEBASTIAN MORA-MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2800
(718) 960-7037
Mailing address
1225 GERARD AVE, BRONX, NY 10452-8001
(914) 457-4559
(718) 960-7037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02211434
—
NY
Enumeration date
10/18/2006
Last updated
01/26/2010
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