Jennifer N Back, RD, CDE

NPI #1770719973 in Groton, Connecticut

Provider Information

NPI Number: 1770719973
Entity Type: Individual
Name: Jennifer N Back, RD, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, CDE
Enumeration Date: Jun 3, 2009
Last Updated: Jan 7, 2025

Practice Location

Address: 1 WAHOO AVE
City: Groton
State: Connecticut
ZIP Code: 06349-2324
Phone: (860) 694-5212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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