| Doctor Name: | MISS JAMIE MORA |
| NPI Number: | 1275865198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.H.S., PA-C |
| License Number: | 25MP00233100 |
| Business Practice Address: | 420 Front St Elmer, NJ - 083182177 |
| Business Phone Number: | 8563581500 |
| Business Fax Number: | 8563581117 |
| Mailing Address: | 420 Front St, Po Box 578 ELMER |
| State: | NJ |
| Postal Code: | 083182177 |
| Phone Number: | 8563581500 |
| Fax Number: | 8563581117 |
| NPI Enumeration Date: | 02/02/2010 |
| NPI Last Update Date: | 11/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00233100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |