Individual provider · Type 1 NPI

Ethan Balk, PhD, RD

Metabolic Nutrition Registered Dietitian · New Haven, CT

NPI number 1124535372 Active

About NPI 1124535372

Ethan Balk, PhD, RD's National Provider Identifier is 1124535372, issued on Jan 9, 2018. The primary taxonomy on file is Metabolic Nutrition Registered Dietitian (133VN1006X), and the practice location is in New Haven, CT. The record was last updated on Jan 9, 2018.