J
IndividualActive
Jack Surgenor
Dietitian, Registered
NPI: 1093677650Durham, Connecticut, 06422(203) 464-9095Male
About Jack Surgenor
Jack Surgenor is a male healthcare professional specializing in Dietitian, Registered, registered under National Provider Identifier (NPI) number 1093677650. Their primary practice is located at 20 LAUREL TRL, Durham, Connecticut 06422.
Patients can reach the office at (203) 464-9095. Jack Surgenor has been NPI-registered since 2025.
Doctor Details
Identity & Credentials
- NPI Number
- 1093677650
- Entity Type
- Individual
- First Name
- Jack
- Last Name
- Surgenor
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 20 LAUREL TRL
- City
- Durham
- State
- Connecticut
- ZIP
- 06422-3400
- Country
- United States
- Phone
- (203) 464-9095
Specialty & Taxonomy
- Primary Specialty
- Dietitian, Registered
- Classification
- Dietitian, Registered
- Taxonomy Code
- 133V00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 20 LAUREL TRL
- City
- DURHAM
- State
- CT
- ZIP
- 064223400
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jack Surgenor's NPI number?
Jack Surgenor's National Provider Identifier (NPI) is 1093677650. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack Surgenor specialize in?
Jack Surgenor specializes in Dietitian, Registered.
Where is Jack Surgenor located?
Jack Surgenor practices at 20 LAUREL TRL, Durham, Connecticut 06422. You can reach them by phone at (203) 464-9095.
Does Jack Surgenor accept Medicare?
Based on available data, Jack Surgenor is not currently enrolled in the Medicare program.
Does Jack Surgenor offer telehealth or virtual visits?
Jack Surgenor does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Surgenor is 1093677650.