Provider Demographics
NPI:1033277314
Name:KALUSKAR, ALPANA S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALPANA
Middle Name:S
Last Name:KALUSKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SOMERSET ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-4828
Mailing Address - Country:US
Mailing Address - Phone:908-412-0891
Mailing Address - Fax:908-412-0986
Practice Address - Street 1:42 SOMERSET ST
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4828
Practice Address - Country:US
Practice Address - Phone:908-412-0891
Practice Address - Fax:908-412-0986
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02027100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7662203Medicaid