Black Rock Pediatrics
Black Rock Pediatrics is a Pediatrics Physician in Fairfield, Connecticut. Licensed in Connecticut. Registered with an NPI since 2009.
- Licensed in
- CT
- In the registry since
- 2009
Practice location Address checks out
1817 Black Rock Tpke Ste 206Fairfield, CT 06825-3546
Phone: (203) 337-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 037492 (CT) |
|---|
Record details
| NPI number | 1760629232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elin Cohen — President · (203) 650-6030 |
| NPI enumerated | January 20, 2009 |
| Last updated in NPPES | January 5, 2012 |
| Mailing address | 1817 Black Rock Tpke, Suite 206, Fairfield, CT 06825-3546 |
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