Provider Demographics
NPI:1598727299
Name:KALISCHER, ALAN LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LESTER
Last Name:KALISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5103
Mailing Address - Country:US
Mailing Address - Phone:908-889-1900
Mailing Address - Fax:908-889-0800
Practice Address - Street 1:134 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5103
Practice Address - Country:US
Practice Address - Phone:908-889-1900
Practice Address - Fax:908-889-0800
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04423700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0512109Medicaid
NJ0512109Medicaid
NJB16225Medicare UPIN