Provider Demographics
NPI:1538448873
Name:MORGAN, BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 ALLAIRE AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7603
Mailing Address - Country:US
Mailing Address - Phone:732-531-1136
Mailing Address - Fax:732-531-0177
Practice Address - Street 1:1500 ALLAIRE AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-7603
Practice Address - Country:US
Practice Address - Phone:732-531-1136
Practice Address - Fax:732-531-0177
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09051200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ242111UUGMedicare PIN