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Contact Information

ODIN DELOS REYES, D.P.M
1 POMPERAUG OFFICE PARK
SUITE 105
SOUTHBURY, CT06488-2295
 Phone: 203-262-6100
 Fax: 203-264-6679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ODIN DELOS REYES · (Male)

NPI # 1679682249
Status Active
Credentials D.P.M
Entity Individual
Enumeration date 08/29/2006
Last updated 04/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # CT 000 680
  • CT Medicaid 004186947
  • CT Other 480026445 RAILROAD MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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