Provider Demographics
NPI:1609880483
Name:KALUSKAR, MADHAVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:MADHAVI
Middle Name:
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 1:25 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3105
Mailing Address - Country:US
Mailing Address - Phone:732-516-1930
Mailing Address - Fax:
Practice Address - Street 1:1520 US HIGHWAY 130
Practice Address - Street 2:NORTH SUITE 102
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3148
Practice Address - Country:US
Practice Address - Phone:732-422-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI212151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice