Organization
BLACK ROCK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIN R COHEN M.D. (PRESIDENT)
(203) 650-6030
Entity
Organization
Contact information
Practice address
1817 BLACK ROCK TPKE, SUITE 206, FAIRFIELD, CT 06825-3546
(203) 337-5333
Mailing address
1817 BLACK ROCK TPKE, SUITE 206, FAIRFIELD, CT 06825-3546
(203) 337-5333
(203) 337-5360
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037492
CT
Other
Enumeration date
01/20/2009
Last updated
01/05/2012
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