Jack Surgenor

NPI #1093677650 in Durham, Connecticut

Provider Information

NPI Number: 1093677650
Entity Type: Individual
Name: Jack Surgenor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Dec 2, 2025
Last Updated: Dec 2, 2025

Practice Location

Address: 20 LAUREL TRL
City: Durham
State: Connecticut
ZIP Code: 06422-3400
Phone: (203) 464-9095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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