Provider Demographics
NPI:1861477655
Name:PALMIERI, ALFRED ERROL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:ERROL
Last Name:PALMIERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 COMMONS WAY
Mailing Address - Street 2:BLDG. H
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6430
Mailing Address - Country:US
Mailing Address - Phone:732-914-8989
Mailing Address - Fax:732-914-0262
Practice Address - Street 1:886 COMMONS WAY
Practice Address - Street 2:BLDG. H
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6430
Practice Address - Country:US
Practice Address - Phone:732-914-8989
Practice Address - Fax:732-914-0262
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA31308207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC61290Medicare UPIN