JONATHAN COVAULT

FARMINGTON, CT
NPI1619972395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CT  034693)
Enumeration Date2005-06-17
Last Update Date2022-09-28
Business Address
-- JONATHAN COVAULT MD
263 FARMINGTON AVE
FARMINGTON, CT 06030-6410
Phone number: 860-679-6703
Mailing Address
-- JONATHAN COVAULT MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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