Provider Demographics
NPI:1871877266
Name:KELUSKAR, RANJIT
Entity type:Individual
Prefix:MR
First Name:RANJIT
Middle Name:
Last Name:KELUSKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 NEW RD
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2318
Mailing Address - Country:US
Mailing Address - Phone:732-274-2333
Mailing Address - Fax:
Practice Address - Street 1:253 NEW RD
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2318
Practice Address - Country:US
Practice Address - Phone:732-274-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RJ01291183500000X
NY033381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist