NPI 1780079269

Shane Reynolds, DPM

Practitioner Podiatrist Norwalk, CT

Practice location

Address: 488 Main Ave, Norwalk, CT 06851-1008
Phone: (203) 838-0442

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 001009 (CT)

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Registry record

NPI: 1780079269
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2015
Record last updated: 24 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.