Provider Demographics
NPI:1184894651
Name:PALFREY, FRED PRICE
Entity type:Individual
Prefix:MR
First Name:FRED
Middle Name:PRICE
Last Name:PALFREY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEYS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08069-2809
Mailing Address - Country:US
Mailing Address - Phone:302-892-4365
Mailing Address - Fax:
Practice Address - Street 1:1501 BARLEY MILL RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807-2231
Practice Address - Country:US
Practice Address - Phone:302-892-4365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer