Search › Connecticut › 363AS0400X
Shelby Blackley
NPI 1518584259 · on the registry since 2020
Practice
- Address
- 5520 Park Ave Ste Wp-2300
Trumbull, CT 06611 - Phone
- (203) 374-0310
- Organisation at this address
- The Diep Group Ct Pllc
Black Rock Tpk Med Grp
Connecticut Pain Care, P.C.
Northeast Spine & Rehab., Llc
Sekerak M.D. & Tristine M.D., PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut