ODIN DE LOS REYES DPM INC NPI 1205050630

NPI Information

ODIN DE LOS REYES DPM INC is a primary podiatric medicine podiatrist in Southbury, CT. ODIN DE LOS REYES DPM INC NPI is 1205050630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 POMPERAUG OFFICE PARK
SUITE 105
SOUTHBURY, CT
ZIP 06488-295
Phone: (230) 262-6100
Fax: (203) 264-6679

The provider's authorized official is Odin Anthony De Los Reyes .
The authorized official title is Podiatrist and has the following contact phone number (203) 262-6100.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 9/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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