Black Rock Tpk Med Grp

LBN: Black Rock Tpk Med Grp
Black Rock Tpk Med Grp is an health care organization with primary practice located at 5520 Park Ave Suite 203, Trumbull CT 06611-3463. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Black Rock Tpk Med Grp can be contacted via phone (203) 334-7400, or through Fernandez, Elizabeth via phone (203) 334-7400.

Contact Information

Primary practice address
5520 Park Ave Suite 203 Trumbull CT 06611-3463
Phone: (203) 334-7400
Fax: (203) 338-0455
Website:
Map and Directions
Authorized official contact:
Name: Fernandez, Elizabeth
Phone: (203) 334-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 013894 Connecticut
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X Connecticut

Profile Details

NPI number 1295733491
LBN Legal business name Black Rock Tpk Med Grp
DBA Doing business as
Authorized official Fernandez, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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