Healthcare Provider Details

I. General information

NPI: 1376657908
Provider Name (Legal Business Name): BENJAMIN N LOPARO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 07/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ROUTE 9
WARETOWN NJ
08758-1743
US

IV. Provider business mailing address

304 ROUTE 9 STE 7
WARETOWN NJ
08758-1700
US

V. Phone/Fax

Practice location:
  • Phone: 609-660-1600
  • Fax: 609-660-1768
Mailing address:
  • Phone: 609-660-1600
  • Fax: 609-660-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMCO2476
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: