Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 25MA07807700 | NJ |
NPI | 1043276108 |
---|---|
Provider Name | Dr. David A Wrone |
First Address | Princeton, NJ 08540-4119 |
Second Address | North Brunswick, NJ 08902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 14/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
223777703 | COMMERCIAL INSURANCES (01) | |
223777917 | COMMERCIAL INSURANCES (01) | |
H72554 | (02) | NJ |