Reyes, Maria Victoria G

Reyes, Maria Victoria G is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Reyes, Maria Victoria G can be contacted via phone (860) 444-5100.

Contact Information

Primary practice address
365 Montauk Ave New London CT 06320-4700
Phone: (860) 444-5100
Fax: (860) 444-3709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 39330 Connecticut

Profile Details

NPI number 1598787517
LBN Legal business name Reyes, Maria Victoria G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 24th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598787517 NPPES
Connecticut Other 744026 CONNECTICARE#
Connecticut Other 0007107293 CONNECTICARE#
Connecticut Other 061344026 CONNECTICARE#
Connecticut Other 061344026 CONNECTICARE#
Connecticut Other 500HBL160CT01 CONNECTICARE#
Connecticut Other 500HBL160CT01 CONNECTICARE#
Connecticut Other 032344 CONNECTICARE#
Connecticut MEDICAID 001393305 CONNECTICARE#
Connecticut Other C009155 CONNECTICARE#
Connecticut Other 061344026 CONNECTICARE#

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