| NPI | 1841461936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIN ANTHONY DE LOS REYES Podiatrist 860-229-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT CT 000 680) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |