Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Rock Tpk Med Grp

Organization Internal Medicine Physician · NPI 1295733491

Black Rock Tpk Med Grp is an Internal Medicine Physician in Trumbull, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005
Specialties on file
2

Practice location Address checks out

5520 Park Ave Ste 203
Trumbull, CT 06611-3463
Phone: (203) 334-7400
Fax: (203) 338-0455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 013894 (CT)
Hematology & Oncology Physician Taxonomy 207RH0003X (CT)

Record details

NPI number1295733491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Fernandez — Office Administrator · (203) 334-7400
NPI enumeratedJuly 12, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address5520 Park Ave, Suite 203, Trumbull, CT 06611-3463

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