Provider Demographics
NPI:1376657908
Name:LOPARO, BENJAMIN N (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:N
Last Name:LOPARO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 ROUTE 9 STE 7
Mailing Address - Street 2:
Mailing Address - City:WARETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08758-1700
Mailing Address - Country:US
Mailing Address - Phone:609-660-1600
Mailing Address - Fax:609-660-1768
Practice Address - Street 1:501 ROUTE 9
Practice Address - Street 2:
Practice Address - City:WARETOWN
Practice Address - State:NJ
Practice Address - Zip Code:08758-1743
Practice Address - Country:US
Practice Address - Phone:609-660-1600
Practice Address - Fax:609-660-1768
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO2476111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223229923OtherTAX ID