Healthcare Provider Details

I. General information

NPI: 1417084112
Provider Name (Legal Business Name): ARTHUR MICHAEL PIRONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

769 NORTHFIELD AVE SUITE LL-20
WEST ORANGE NJ
07052-1198
US

IV. Provider business mailing address

19 W LAKESIDE LN
NEWTON NJ
07860-6906
US

V. Phone/Fax

Practice location:
  • Phone: 973-669-9595
  • Fax: 973-669-1050
Mailing address:
  • Phone: 973-579-5150
  • Fax: 973-669-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberMA041356
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: