Diane L. Fountas MD
Diane L. Fountas MD provides Pediatrics Physician services in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
Practice location Address checks out
1389 W Main St Ste 325Waterbury, CT 06708-3104 Not confirmed with CMS for 19 years — call before visiting
Phone: (203) 753-6776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 024436 (CT) |
|---|
Record details
| NPI number | 1639378086 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tammy Carrasquillo — Office Manager · (203) 753-6776 |
| NPI enumerated | July 16, 2007 |
| Last updated in NPPES | July 16, 2007 |
| Mailing address | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 |
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