BLACK ROCK TPK MED GRP
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1295733491- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5520 PARK AVE SUITE 203, TRUMBULL, CT, 066113463
- Phone
- (203) 334-7400
- Fax
- (203) 338-0455
Specialties & Taxonomies
Internal Medicine, Hematology & Oncology
License: CT
Internal Medicine
Primary License: CT #013894