Provider Demographics
NPI:1578528592
Name:TERRANY, BEN (MD)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:TERRANY
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 1:1907 HIGHWAY 35
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2765
Mailing Address - Country:US
Mailing Address - Phone:732-517-0060
Mailing Address - Fax:732-548-7408
Practice Address - Street 1:1907 HIGHWAY 35
Practice Address - Street 2:SUITE 1
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2765
Practice Address - Country:US
Practice Address - Phone:732-517-0060
Practice Address - Fax:732-548-7408
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA58581207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0696803000OtherAMERIHEALTH
NJ222921463OtherBCBS
NJ3811159OtherAETNA
NJ60013179OtherMERCY
NJ9705295OtherCIGNA
NJ2K9542OtherHEALTNET
NJ09498OtherQUALCARE
NJP1239460OtherOXFORD
NJ222921463OtherPHCS
NJ9705295OtherCIGNA
NJ0696803000OtherAMERIHEALTH
NJ222921463OtherPHCS