SearchConnecticutRegistered Dietitian

Jack Surgenor

NPI 1093677650 · on the registry since 2025

Practice

Address
20 Laurel Trl
Durham, CT 06422
Phone
(203) 464-9095

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut