Individual
DR. ISABEL LETICIA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(973) 672-2455
Mailing address
200 SW 64TH AVE, PEMBROKE PINES, FL 33023-1237
(786) 436-7423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11503300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2019
Last updated
08/03/2022
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