Jack Surgenor
Jack Surgenor is a Registered Dietitian in Durham, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.
- Licensed in
- CT
- In the registry since
- 2025
Practice location Address checks out
20 Laurel TrlDurham, CT 06422-3400
Phone: (203) 464-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 3048 (CT) |
|---|
Record details
| NPI number | 1093677650 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 2, 2025 |
| Last updated in NPPES | December 2, 2025 |
| Certification date | December 2, 2025 |
| Mailing address | 20 Laurel Trl, Durham, CT 06422-3400 |
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