Weisman, Benjamin
Weisman, Benjamin is an sole proprietor health care provider with primary practice located at 4699 Main St Ste 209, Bridgeport CT 06606-1830. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Weisman, Benjamin can be contacted via phone (203) 374-2747.Contact Information
Primary practice address
4699 Main St Ste 209
Bridgeport CT 06606-1830
Phone: (203) 374-2747
Fax: (203) 372-0204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 025872 | Connecticut |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 025872 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 025872 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025872 | Connecticut |
Profile Details
| NPI number | 1427053073 |
|---|---|
| LBN Legal business name | Weisman, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427053073 | NPPES |
| Connecticut | Other | CSP.0012514 | STATE CONTROLLED SUBSTANCES |
| Connecticut | Other | 125872 | STATE CONTROLLED SUBSTANCES |
| Connecticut | MEDICAID | 001258722 | STATE CONTROLLED SUBSTANCES |
| Connecticut | Other | 1427053073 | STATE CONTROLLED SUBSTANCES |
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