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Individual

DR. ABEL R AGUILAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1416 W CABER CT, BLOOMINGTON, IN 47403-7906
(518) 339-8086
Mailing address
1416 W CABER CT, BLOOMINGTON, IN 47403-7906
(518) 339-8086

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001035A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000523734
ANTHEM
05
02608033
NY
05
200854430
IN
01
783861
MVP
01
PJ5781
BCBS
Enumeration date
04/28/2006
Last updated
04/01/2017
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