Healthcare Provider Details

I. General information

NPI: 1669302774
Provider Name (Legal Business Name): ASHLY C REYES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ROCKLAND RD STE 3D1
WILMINGTON DE
19803-3607
US

IV. Provider business mailing address

3102 CARDINAL WAY UNIT J
ABINGDON MD
21009-2936
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-5874
  • Fax: 302-651-5954
Mailing address:
  • Phone: 973-836-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC7-0019382
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: