Internal Medicine
BLACK ROCK TPK MED GRP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1295733491 · enumerated 2005-07-12 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ELIZABETH FERNANDEZ, Office Administrator · (203) 334-7400
Addresses and phones
- Mailing address 5520 PARK AVE, SUITE 203, TRUMBULL, CT, 06611-3463 (203) 334-7400 Fax (203) 338-0455 Google Maps Apple Maps OpenStreetMap
- Practice location 5520 PARK AVE, SUITE 203, TRUMBULL, CT, 06611-3463 (203) 334-7400 Fax (203) 338-0455 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine, Hematology & Oncology 207RH0003X
- Internal Medicine 207R00000X · Primary · License 013894 CT
In this directory
Locations and evidence
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Practice location
TRUMBULL, CT, 066113463
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.