Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK SURGENOR
ActiveJACK SURGENOR is a Registered Dietitian healthcare provider located in DURHAM, Connecticut. NPI 1093677650 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · DURHAM, CT
Registration Details
- NPI Number
- 1093677650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2025 (0.65419123423281 yrs)
- Last Updated
- Dec 2, 2025
- License
-
3048 (CT)
Practice Information
- Address
-
20 LAUREL TRLDURHAM, CT, 064223400Browse CT providers · Browse ZIP 06422
- Phone
- 2034649095
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in DURHAM, CT
| Name | Credential | NPI |
|---|---|---|
| GINA BARBETTA | RD | 1326698333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.