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Contact Information

BENJAMIN WEISMAN, MD
4699 MAIN ST
STE 209
BRIDGEPORT, CT06606-1830
 Phone: 203-374-2747
 Fax: 203-372-0204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BENJAMIN WEISMAN · (Male)

NPI Number 1427053073
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 025872
  • CT Medicaid 001258722
  • CT Other 1427053073 NPI
  • CT Other CSP.0012514 STATE CONTROLLED SUBSTANCES
  • CT Other 125872 STATE LICENSE
Hospital affiliation(s)
  • ST VINCENT'S MEDICAL CENTER - (Acute Care)
    2800 MAIN ST
    BRIDGEPORT, CT 06606
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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