MEDICARE: MR. RANJIT KELUSKAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RJ01291	NJ
2	183500000X	Pharmacist	033381	NY

General Provider Information

NPI Number	:	1871877266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANJIT KELUSKAR

Provider Business Mailing Address
First Line	:	253 NEW RD
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2318
Country	:	US
Telephone Number	:	732-274-2333
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 NEW RD
Second Line	:
City	:	MONMOUTH JUNCTION
State	:	NJ
Zip	:	08852-2318
Country	:	US
Telephone Number	:	732-274-2333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	10/04/2011

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Directions to “ MR. RANJIT KELUSKAR ” Practice Location

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