Individual
DR. JEFFREY ALLEN FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 S MAIN ST, RED LION, PA 17356-2615
(717) 244-8229
(717) 246-4439
Mailing address
PO BOX 306, RED LION, PA 17356-0306
(717) 244-8229
(717) 246-4439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030794E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010869300004
—
PA
01
—
010019565
PALMETTO GBA
PA
01
—
P003096
GATEWAY HEALTH PLAN
PA
Enumeration date
10/11/2005
Last updated
04/27/2010
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