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Individual

BENJAMIN MARTIN C. SY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2512 WHEATON WAY, BREMERTON, WA 98310-3399
(360) 782-3700
Mailing address
2512 WHEATON WAY, BREMERTON, WA 98310-3399

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0062889
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0062889
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0062889
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1423712
AETNA
WA
01
213846
LABOR & INDUSTRIES
WA
01
2512SY
REGENCE BLUE SHIELD
WA
05
8464745
WA
01
P00392555
RAILROAD MEDICARE
Enumeration date
07/17/2006
Last updated
12/14/2010
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