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Dr. Ethan Balk, PHD,RD
Metabolic Nutrition Registered Dietitian in New Haven, Connecticut
NPI 1124535372

Ethan Balk is a Metabolic Nutrition Registered Dietitian based in New Haven, CT and is specialized in Nutrition, Metabolic. Ethan Balk practices in New Haven, CT and has the professional credentials of PHD,RD. The NPI Number for Ethan Balk is 1124535372 and holds a License No. 1448 (Connecticut).

The current practice location address for Ethan Balk is 40 Temple St Ste 7B, New Haven, CT and can be reached out via phone at 203-785-6060. You can also correspond with Ethan Balk through the mailing address at 40 TEMPLE ST STE 7B, NEW HAVEN, CT - 06510-2715 (mailing address contact number: ).

Location: 40 Temple St Ste 7B, New Haven, CT, 06510-2715
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Provider Profile Details
NPI Number
1124535372
Provider Name
Ethan Balk
Credential
PHD,RD
Provider Entity Type
Individual
Gender
Male
Address
40 Temple St Ste 7B, New Haven, CT, 06510-2715
Phone Number
203-785-6060
Fax Number
Provider Enumeration Date
01/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14175906 01 CAQH PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
40 Temple St Ste 7B
City
State
Zip
06510-2715
Phone Number
203-785-6060
Fax Number
person
Provider Business Mailing Address Details
Address
40 Temple St Ste 7B
City
State
Zip
06510-2715
Phone Number
203-785-6060
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
1448 (Connecticut)
Definition
Definition to come...
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