Individual
DR. VILLAMOR S REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9811 MALLARD DR STE 205, LAUREL, MD 20708-3199
(301) 953-1020
(301) 953-7918
Mailing address
9811 MALLARD DR STE 205, LAUREL, MD 20708-3199
(301) 953-1020
(301) 953-7918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0029671
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06728
AMENGROUP
MD
01
—
1796003
CAREFIST
MD
05
—
914631800
—
MD
Enumeration date
11/01/2006
Last updated
06/21/2010
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