MEDICARE: DR. BENJAMIN WEISMAN M.D.

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
1	174400000X	Specialist	025872	CT
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	025872	CT
3	207RP1001X	Pulmonary Disease Physician	025872	CT
4	207R00000X	Internal Medicine Physician	025872	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CSP.0012514	OTHER	CT	STATE CONTROLLED SUBSTANCES
2	125872	OTHER	CT	STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1427053073	OTHER	CT	NPI

General Provider Information

NPI Number	:	1427053073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN WEISMAN M.D.

Provider Business Mailing Address
First Line	:	4699 MAIN ST
Second Line	:	STE 209
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-1830
Country	:	US
Telephone Number	:	203-374-2747
Fax Number	:	203-372-0204

Provider Business Practice Location Address
First Line	:	4699 MAIN ST
Second Line	:	STE 209
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-1830
Country	:	US
Telephone Number	:	203-374-2747
Fax Number	:	203-372-0204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1366447302 — PAUL A. AIELLO M.D.
Practice Location Address:

4699 MAIN ST
BRIDGEPORT, CT
06606-1830

Practice Phone: 203-683-4550
Practice Fax: 203-926-1410

1952395568 — DR. JEFFREY N KAPLAN I MD
Practice Location Address:

4699 MAIN ST
BRIDGEPORT, CT
06606-1830

Practice Phone: 203-374-8182
Practice Fax:

1437133154 — DR. ANTHONY V MASI MD
Practice Location Address:

4699 MAIN ST , SUITE 106
BRIDGEPORT, CT
06606-1830

Practice Phone: 203-374-8182
Practice Fax: 203-374-2626

1568425171 — DR. JEFFREY R SANDLER M.D.
Practice Location Address:

4699 MAIN ST , SUITE 106
BRIDGEPORT, CT
06606-1830

Practice Phone: 303-374-8182
Practice Fax: 203-374-2626

1720036700 — GRACE P KIM MD
Practice Location Address:

4699 MAIN ST STE 201
BRIDGEPORT, CT
06606-1830

Practice Phone: 203-659-1599
Practice Fax: 203-382-0189

1194771758 — HOLLY R BASHURA APRN
Practice Location Address:

4699 MAIN ST , SUITE 105
BRIDGEPORT, CT
06606-1830

Practice Phone: 203-374-6162
Practice Fax: 203-374-1549

Directions to “ DR. BENJAMIN WEISMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.