Organization
ALBERT RIDLOVSKY MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT RIDLOVSKI M.D. (INTERNAL MEDICINE)
(909) 481-0752
Entity
Organization
Contact information
Practice address
8112 MILLIKEN AVE, SUITE 103-2, RANCHO CUCAMONGA, CA 91730-7471
(909) 481-0752
(909) 481-0804
Mailing address
8112 MILLIKEN AVE, SUITE 103-2, RANCHO CUCAMONGA, CA 91730-7471
(909) 481-0752
(909) 481-0804
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A88847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88847
LICENSE
CA
Enumeration date
09/12/2006
Last updated
02/26/2010
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