Provider Demographics
NPI:1467274159
Name:ABLOG, ARIC A
Entity type:Individual
Prefix:
First Name:ARIC
Middle Name:A
Last Name:ABLOG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 94 BOX 1258
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09824-0013
Mailing Address - Country:US
Mailing Address - Phone:605-423-2840
Mailing Address - Fax:
Practice Address - Street 1:PSC 94 BOX 1258
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09824-0013
Practice Address - Country:US
Practice Address - Phone:605-423-2840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other