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Organization
EJ POLITOSKE MD INC
Active
Organization
EJ POLITOSKE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J POLITOSKE MD (MD OWNER)
(951) 734-9930
Entity
Organization
Contact information
Practice address
341 MAGNOLIA AVENUE, SUITE 207, CORONA, CA 92879
(951) 734-9930
(951) 734-9692
Mailing address
341 MAGNOLIA AVENUE, SUITE 207, CORONA, CA 92879
(951) 734-9930
(951) 734-9692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A41806
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A418060
—
CA
Enumeration date
10/05/2006
Last updated
10/28/2009
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