Individual
BENJAMIN SCOPELLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
Mailing address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00628500
NJ
363AS0400X
Surgical Physician Assistant
Primary
—
NJ
Other
Enumeration date
06/22/2021
Last updated
04/15/2025
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