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Individual

RICHARD MAKOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
GAYLORD FARMS RD., WALLINGFORD, CT 06492
(203) 284-2800
(203) 679-3598
Mailing address
GAYLORD FARMS RD., PO BOX 400, WALLINGFORD, CT 06492
(203) 284-2800
(203) 679-3598

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
017066
CT
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
17066
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1170661
CT
Enumeration date
11/09/2005
Last updated
09/11/2025
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