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Individual

DR. RONALD DEMAKOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
351 SILVER STREET, RIVER VALLEY SERVICES DUTTON HOME, MIDDLETOWN, CT 06457
(860) 262-5358
(860) 262-5356
Mailing address
PO BOX 351 SILVER STREET, RIVER VALLEY SERVICES DUTTON HOME, MIDDLETOWN, CT 06457
(860) 262-5358
(860) 262-5356

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001243
CT

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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