Healthcare Provider Details

I. General information

NPI: 1043276108
Provider Name (Legal Business Name): DAVID A WRONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 STATE HIGHWAY 27 SUITE A
NORTH BRUNSWICK NJ
08902
US

IV. Provider business mailing address

89 POE RD
PRINCETON NJ
08540-4119
US

V. Phone/Fax

Practice location:
  • Phone: 732-297-8866
  • Fax: 732-821-0626
Mailing address:
  • Phone: 609-924-3298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number25MA07807700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: