Individual
DR. ELLEN ABLOG DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DR.0058821
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139659
—
IA
Enumeration date
06/21/2005
Last updated
10/09/2023
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