Odin De Los Reyes Dpm Inc in Southbury - Primary Podiatric Medicine
Odin De Los Reyes Dpm Inc - NPI 1205050630
Odin De Los Reyes Dpm Inc is a Primary Podiatric Medicine in Southbury, Connecticut. Odin De Los Reyes Dpm Inc practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Odin De Los Reyes Dpm Inc is 1205050630. The last update date is 2020-09-23.
Odin De Los Reyes Dpm Inc's current location address is 1 Pomperaug Office Park, Southbury, Connecticut. You can contact this provider via phone number 2302626100 and fax number 2032646679. The mailing address for Odin De Los Reyes Dpm Inc is 1 Pomperaug Office Park, Southbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Odin De Los Reyes Dpm Inc |
|---|---|
| Address | 1 Pomperaug Office Park, Southbury, Connecticut |
| Phone Number | 2302626100 |
| Fax Number | 2032646679 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | De Los Reyes Anthony Odin |
| Credentials | DPM |
| Telephone Number | 2032626100 |
NPI Number Detail
| NPI Number | 1205050630 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-09-23 |
Provider Mailing Address Detail
| Address | 1 Pomperaug Office Park |
|---|---|
| City | Southbury |
| State | Connecticut (CT) |
| Post Code | 64882295 |
| Phone Number | 2302626100 |
| Fax Number | 2032646679 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | CT000680 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4186947 | CT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Odin De Los Reyes Dpm Inc by the Centers for Medicare & Medicaid Services?
The Odin De Los Reyes Dpm Inc has been issued the NPI (National Provider Identifier) 1205050630. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Odin De Los Reyes Dpm Inc?
The Odin De Los Reyes Dpm Inc is situated at 1 Pomperaug Office Park, in the city of Southbury, state of CT, with the zip code 64882295.
What is the Odin De Los Reyes Dpm Inc's specialty and taxonomy code?
The Odin De Los Reyes Dpm Inc's specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205050630 to Odin De Los Reyes Dpm Inc?
The Centers for Medicare & Medicaid Services assigned the 1205050630 to Odin De Los Reyes Dpm Inc on 2007-04-13.
As of what date was the information regarding Odin De Los Reyes Dpm Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Odin De Los Reyes Dpm Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-23.