Individual
DR. JORGE L MAYORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 MOUNT KEMBLE AVE, THEBAUD BUILDING, FOURTH FLOOR, MORRISTOWN, NJ 07960-5155
(973) 267-2293
(973) 267-3144
Mailing address
95 MOUNT KEMBLE AVE, THEBAUD BUILDING, FOURTH FLOOR, MORRISTOWN, NJ 07960-5155
(973) 267-2293
(973) 267-3144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MA068155
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD431776
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8020507
—
NJ
Enumeration date
08/25/2005
Last updated
06/22/2021
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