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Dr. Diane Louise Fountas, MD
Pediatric Adolescent Medicine Physician in Waterbury, Connecticut
NPI 1376507301

Diane Louise Fountas is a Pediatric Adolescent Medicine Physician based in Waterbury, CT and is specialized in Adolescent Medicine. Diane Louise Fountas practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Diane Louise Fountas is 1376507301 and holds a License No. 024436 (Connecticut).

The current practice location address for Diane Louise Fountas is 1389 W Main St, Waterbury, CT and can be reached out via phone at 203-753-6776 and via fax at 203-573-1875.

Location: 1389 W Main St, Waterbury, CT, 06708-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376507301
Provider Name
Diane Louise Fountas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1389 W Main St, Waterbury, CT, 06708-3104
Phone Number
203-753-6776
Fax Number
203-573-1875
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1389 W Main St
City
Waterbury
State
Connecticut
Zip
06708-3104
Phone Number
203-753-6776
Fax Number
203-573-1875
person
Provider Business Mailing Address Details
Address
1389 W Main St
City
Waterbury
State
Connecticut
Zip
06708-3104
Phone Number
203-753-6776
Fax Number
203-573-1875
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
024436 (Connecticut)
Definition
A pediatrician who 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.
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