Dr. Diane Louise Fountas
M.D. | Pediatric Adolescent Medicine | Female
Dr. Diane Louise Fountas, M.D. is a Waterbury, Connecticut based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Diane Louise Fountas is
1389 W Main St, Suite 325, Waterbury, Connecticut - 06708-3104. She can be contacted on phone at
203-753-6776 and fax number 203-573-1875.
Dr. Diane Louise Fountas is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Diane Louise Fountas is
1376507301 which was assigned by NPPES on 14 Apr, 2006 and it was last updated on 09 Jul, 2007.
Dr. Diane Louise Fountas license number is
024436 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Dr. Diane Louise Fountas specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Diane Louise Fountas basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Diane Louise Fountas |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Diane Louise Fountas address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1389 W Main St, Suite 325
Waterbury, CT, 06708-3104
United States |
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| Phone Number : | 203-753-6776 |
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| Fax Number : | 203-573-1875 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376507301 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Apr, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Diane Louise Fountas are as mentioned. Primary taxonomy code for Dr. Diane Louise Fountas, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 024436 | CT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1389 W Main St, Suite 325
Waterbury, CT, 06708-3104
United States |
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| Phone Number : | 203-753-6776 |
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| Fax Number : | 203-573-1875 |
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Business Location:
Patients can refer following map for directions to
Dr. Diane Louise Fountas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.