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Odin Delos Reyes, DPM
Primary Podiatric Medicine Podiatrist in Southbury, Connecticut
NPI 1679682249

Odin Delos Reyes is a Primary Podiatric Medicine Podiatrist based in Southbury, CT and is specialized in Primary Podiatric Medicine. Odin Delos Reyes practices in Southbury, CT and has the professional credentials of DPM. The NPI Number for Odin Delos Reyes is 1679682249 and holds a License No. CT 000 680 (Connecticut).

The current practice location address for Odin Delos Reyes is 1 Pomperaug Office Park, Southbury, CT and can be reached out via phone at 203-262-6100 and via fax at 203-264-6679.

Location: 1 Pomperaug Office Park, Southbury, CT, 06488-2295
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Provider Profile Details
NPI Number
1679682249
Provider Name
Odin Delos Reyes
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1 Pomperaug Office Park, Southbury, CT, 06488-2295
Phone Number
203-262-6100
Fax Number
203-264-6679
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480026445 01 CT RAILROAD MEDICARE PIN
004186947 05 CT
institution
Provider Business Practice Location Address Details
Address
1 Pomperaug Office Park
City
State
Zip
06488-2295
Phone Number
203-262-6100
Fax Number
203-264-6679
person
Provider Business Mailing Address Details
Address
1 Pomperaug Office Park
City
State
Zip
06488-2295
Phone Number
203-262-6100
Fax Number
203-264-6679
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
CT 000 680 (Connecticut)
Definition
Definition to come...
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