Black Rock Tpk Med Grp
NPI #1295733491 in Trumbull, Connecticut
Provider Information
- NPI Number
- 1295733491
- Entity Type
- Organization
- Organization Name
- Black Rock Tpk Med Grp
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 5520 PARK AVE
- Address 2
- SUITE 203
- City
- Trumbull
- State
- Connecticut
- ZIP Code
- 06611-3463
- Phone
- (203) 334-7400
Authorized Official
- Name
- ELIZABETH FERNANDEZ
- Title
- OFFICE ADMINISTRATOR
- Phone
- (203) 334-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
| Internal Medicine |
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