Organization
ODIN DE LOS REYES DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODIN ANTHONY DE LOS REYES DPM (PODIATRIST)
(860) 229-1999
Entity
Organization
Contact information
Practice address
81 W MAIN ST, NEW BRITAIN, CT 06051-4221
(860) 229-1999
(860) 225-8155
Mailing address
1 POMPERAUG OFFICE PARK, SOUTHBURY, CT 06488-2295
(203) 262-6100
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
CT 000 680
CT
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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