Active NPIIndividual provider

Mrs. Jacqueline B Erdos, MS, RD, CSSD, CDN

Dietitian, Registered in Norwalk, Connecticut

NPI Number1336382035
Practice location
40 Cross St, Norwalk, CT 06851-4647
Fax
203-840-3153
Last updated
June 12, 2019

Jacqueline Ballou Erdos is a Dietitian, Registered based in Norwalk, CT. Jacqueline Ballou Erdos practices in Norwalk, CT and has the professional credentials of MS, RD, CSSD, CDN. The NPI Number for Jacqueline Ballou Erdos is 1336382035 and holds a License No. 1753 (CT). The current practice location address for Jacqueline Ballou Erdos is 40 Cross St, Norwalk, CT 06851-4647 and can be reached out via phone at 203-229-2000 and via fax at 203-840-3153.

Provider Profile Details

NPI Number
1336382035
Provider Name
Jacqueline Ballou Erdos
Credential
MS, RD, CSSD, CDN
Provider Entity Type
Individual
Gender
Female
Address
40 Cross St, Norwalk, CT 06851-4647
Phone Number
203-229-2000
Fax Number
203-840-3153
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Jacqueline Renee Ballou (Former Name)
Provider Enumeration Date
April 9, 2009
Last Update Date
June 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Cross St
Norwalk, CT 06851-4647
Zip
06851-4647
Phone Number
203-229-2000
Fax Number
203-840-3153
Norwalk, CT 06851Get directions →

Provider Business Mailing Address Details

Address
One Autumn Street Room 455
Childrens Hospital Boston,
Boston, MA 02115
City
Boston
State
MA
Zip
02115
Phone Number
617-355-6097
Fax Number
617-730-0183

License Information

License Number
1753
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jacqueline B Erdos, MS, RD, CSSD, CDN?

The NPI number of Mrs. Jacqueline B Erdos, MS, RD, CSSD, CDN is 1336382035. It was assigned on April 9, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jacqueline B Erdos, MS, RD, CSSD, CDN?

Mrs. Jacqueline B Erdos, MS, RD, CSSD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 1753.

Where does Mrs. Jacqueline B Erdos, MS, RD, CSSD, CDN practice?

The practice location is 40 Cross St, Norwalk, CT 06851-4647. The office can be reached at 203-229-2000 (phone) or 203-840-3153 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336382035 directly on the NPPES registry website.

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