Most Relevant Information
Provider Data
| NPI Number: | 1003819905 |
| Provider Name: | MAYUMI A. MORI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MA64405 |
Most Important Dates
| Enumeration Date: | 05/24/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
218 RIDGEDALE AVE
CEDAR KNOLLS
NJ
079272109
Practice Location Phone/Fax
| Phone: | 9733268895 |
| Fax: | 9733266805 |
Provider Mailing Location
1265 15TH ST
APT 11G
FORT LEE
NJ
070241958
Provider Mailing Phone/Fax
| Phone: | 9733268895 |
| Fax: | 9733266805 |