Ethan Balk, PHD, RD Valid NPI

Individual provider · Metabolic Nutrition Registered Dietitian · New Haven, CT

NPI

1124535372

Type

Individual (Type 1)

Primary specialty

Metabolic Nutrition Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133VN1006X

License number

1448 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2018-01-09

Last updated

2018-01-09