| Odin De Los Reyes Dpm Inc | |
|
1 Pomperaug Office Park, Suite 105, Southbury, CT 06488-2295 | |
| (230) 262-6100 | |
| (203) 264-6679 |
| Full Name | Odin De Los Reyes Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 1 Pomperaug Office Park, Southbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205050630 | NPI | - | NPPES |
| 004186947 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | CT000680 (Connecticut) | Primary |
| Provider Name | Odin De Los Reyes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679682249 PECOS PAC ID: 7012950728 Enrollment ID: I20050603000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Odin De Los Reyes Dpm Inc 1 Pomperaug Office Park, Suite 105, Southbury, CT 06488-2295 Ph: (230) 262-6100 | Odin De Los Reyes Dpm Inc 1 Pomperaug Office Park, Suite 105, Southbury, CT 06488-2295 Ph: (230) 262-6100 |
Barbara A. Kilkenny, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2 Pomperaug Office Park, Suite 106, Southbury, CT 06488 Phone: 203-264-0800 | |
Barbara A. Kilkenny, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Pomperaug Office Park, Suite 106, Southbury, CT 06488 Phone: 203-264-0800 Fax: 203-264-2657 | |
Dr. Joan Tekula, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Pomperaug Office Park, Suite 106, Southbury, CT 06488 Phone: 203-264-0200 | |
Odin Delos Reyes, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 Pomperaug Office Park, Suite 105, Southbury, CT 06488 Phone: 203-262-6100 Fax: 203-264-6679 |