Healthcare Provider Details

I. General information

NPI: 1801161393
Provider Name (Legal Business Name): LOPARO FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ROUTE 9
WARETOWN NJ
08758-1743
US

IV. Provider business mailing address

501 ROUTE 9
WARETOWN NJ
08758-1743
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 NumberMCO4276
License Number StateNJ

VIII. Authorized Official

Name: DR. BENJAMIN N LOPARO
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 609-660-1600