Black Rock Pediatrics

NPI #1760629232 in Fairfield, Connecticut

Provider Information

NPI Number: 1760629232
Entity Type: Organization
Organization Name: Black Rock Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jan 20, 2009
Last Updated: Jan 5, 2012

Practice Location

Address: 1817 BLACK ROCK TPKE
Address 2: SUITE 206
City: Fairfield
State: Connecticut
ZIP Code: 06825-3546
Phone: (203) 337-5333

Authorized Official

Name: DR. ELIN R COHEN, M.D.
Title: PRESIDENT
Phone: (203) 650-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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