Odin De Los Reyes Dpm Inc

NPI 1205050630 - Podiatrist - 213EP1101X

NPI Details
NPI 1205050630
Enumeration Date 04/13/2007
Last Updated 02/12/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ODIN ANTHONY ODIN
Position PODIATRIST
Phone (230) 262-6100
Fax (203) 264-6679
Practice Location
1 POMPERAUG OFFICE PARK
SUITE 107
SOUTHBURY CT, 06488-2295, US
Phone (230) 262-6100
Fax (203) 264-6679
Business Location
ONE POMPERAUG OFFICE PARK
SUITE 107
SOUTHBURY CT, 06488, US
Phone (230) 262-6100
Fax (203) 264-6679
Toxanomy
Taxonomy Code 213EP1101X
License State Connecticut
License Number CT000680
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According to our database, Odin De Los Reyes Dpm Inc NPI is 1205050630, taxonomy code is 213EP1101X and license number is CT000680, license state is located at Connecticut. Odin De Los Reyes Dpm Inc physically located at 1 Pomperaug Office Park, Southbury CT, 06488-2295. NPI Number 1033115704 has the healthcare provider type.

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1205050630 NPI number is provided on an as is basis without warranty of any kind. 1205050630 is maintained by the National Plan & Provider Enumeration System. The contents of Odin De Los Reyes Dpm Inc are for informational purposes only.