Healthcare Provider Details

I. General information

NPI: 1760473789
Provider Name (Legal Business Name): RALPH JOSEPH DEFRIECE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32550 DOCS PL UNIT 1
MILLVILLE DE
19967-6975
US

IV. Provider business mailing address

4 IRWIN PL
MIDDLETOWN DE
19709-7937
US

V. Phone/Fax

Practice location:
  • Phone: 302-541-4175
  • Fax: 888-987-4166
Mailing address:
  • Phone: 302-376-1636
  • Fax: 302-836-8370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC10005374
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: