Individual
MRS. JACQUELINE BALLOU ERDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, CDN
Contact information
Practice address
40 CROSS ST, NORWALK, CT 06851-4647
(203) 229-2000
(203) 840-3153
Mailing address
ONE AUTUMN STREET ROOM 455, CHILDRENS HOSPITAL BOSTON,, BOSTON, MA 02115
(617) 355-6097
(617) 730-0183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1753
CT
Other
Enumeration date
04/09/2009
Last updated
06/12/2019
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