Individual
JACK SURGENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 LAUREL TRL, DURHAM, CT 06422-3400
(203) 464-9095
Mailing address
20 LAUREL TRL, DURHAM, CT 06422-3400
(203) 464-9095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3048
CT
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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