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NPI Code Detail

MEDICARE: DR. BENJAMIN JON GOLAS MD

MEDICARE: DR. BENJAMIN JON GOLAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086X0206XSurgical Oncology Physician25MA10691400NJ
2208600000XSurgery Physician242159NY

General Provider Information

NPI Number : 1619011657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN JON GOLAS MD
Provider Business Mailing Address
First Line : 331 NEWMAN SPRINGS RD
Second Line : BLDG 2, STE 220
City : RED BANK
State : NJ
Zip : 07701-5688
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 80 JAMES ST
Second Line : 2ND FL
City : EDISON
State : NJ
Zip : 08820
Country : US
Telephone Number : 732-635-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 03/12/2026

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