Provider Demographics
NPI:1427527142
Name:AALAMPOUR, BEN
Entity type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:AALAMPOUR
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 1:293 US HIGHWAY 206 UNIT 1
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9580
Mailing Address - Country:US
Mailing Address - Phone:973-598-8913
Mailing Address - Fax:
Practice Address - Street 1:293 HIGHWAY 206
Practice Address - Street 2:UNIT 1
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836
Practice Address - Country:US
Practice Address - Phone:973-598-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02053200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist