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NPI Code Detail

MEDICARE: BENJAMIN R. SIGMOND M.D., C.W.S.

MEDICARE: BENJAMIN R. SIGMOND M.D., C.W.S.
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
1208600000XSurgery Physician340280NY

General Provider Information

NPI Number : 1225220320
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN R. SIGMOND M.D., C.W.S.
Provider Business Mailing Address
First Line : 165 COLEMAN AVE
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2217
Country : US
Telephone Number : 315-755-2024
Fax Number : 315-755-2032
Provider Business Practice Location Address
First Line : 165 COLEMAN AVE
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2217
Country : US
Telephone Number : 315-755-2024
Fax Number : 315-755-2032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 12/15/2025

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