Individual provider · Type 1 NPI
Jack Surgenor
Registered Dietitian · Durham, CT
Practice location
20 Laurel Trl
Durham, CT 06422-3400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 3048 (CT) |
Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
Other registered dietitian providers in Durham
About NPI 1093677650
Jack Surgenor's National Provider Identifier is 1093677650, issued on Dec 2, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Durham, CT. The record was last updated on Dec 2, 2025.