Mastrolia, Ricardo S

Mastrolia, Ricardo S is an individual health care provider with primary practice located at 1020 N 12Th St , Milwaukee WI 53233-1308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Mastrolia, Ricardo S can be contacted via phone (414) 219-4100.

Contact Information

Primary practice address
1020 N 12Th St Milwaukee WI 53233-1308
Phone: (414) 219-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA08075900 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 53071-20 Wisconsin
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 25MA08075900 New Jersey
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 53071-20 Wisconsin

Profile Details

NPI number 1588853667
LBN Legal business name Mastrolia, Ricardo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Jun 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588853667 NPPES
Wisconsin MEDICAID 1588853667

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