- Practice location
- 1389 W Main St, Suite 325, Waterbury, CT 06708-3104
- Phone
- 203-753-6776
- Fax
- —
- Last updated
- July 16, 2007
Diane L. Fountas M.d. is a healthcare organization based in Waterbury, CT. Diane L. Fountas M.d. practices in Waterbury, CT. The NPI Number for Diane L. Fountas M.d. is 1639378086 and holds a License No. 024436 (CT). The current practice location address for Diane L. Fountas M.d. is 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 and can be reached out via phone at 203-753-6776.
Provider Profile Details
- NPI Number
- 1639378086
- Provider Name
- Diane L. Fountas M.d.
- Provider Entity Type
- Organization
- Address
- 1389 W Main St, Suite 325, Waterbury, CT 06708-3104
- Phone Number
- 203-753-6776
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Tammy Carrasquillo · Office Manager · 203-753-6776
- Provider Enumeration Date
- July 16, 2007
- Last Update Date
- July 16, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1389 W Main St
Suite 325
Waterbury, CT 06708-3104 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-3104
- Phone Number
- 203-753-6776
Provider Business Mailing Address Details
- Address
- 1389 W Main St
Suite 325
Waterbury, CT 06708-3104 - City
- Waterbury
- State
- CT
- Zip
- 06708-3104
- Phone Number
- 203-753-6776
License Information
- License Number
- 024436
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Waterbury, CT
View all Pediatrics providers in Waterbury →- Aisha A Davis, MDPediatrics · NPI 1588058846
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- Child & Adolescent Health CarePediatrics · NPI 1497937411
- Christine Maffeo-Anton, MDPediatrics · NPI 1568662666
- Dr. Charles Fischbein, MDPediatrics · NPI 1417063165
- Dr. Ellen Mascoli-Lanza, MDPediatrics · NPI 1063520450
Frequently Asked Questions
What is the NPI number of Diane L. Fountas M.d.?
The NPI number of Diane L. Fountas M.d. is 1639378086. It was assigned on July 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Diane L. Fountas M.d.?
Diane L. Fountas M.d. is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 024436.
Where does Diane L. Fountas M.d. practice?
The practice location is 1389 W Main St, Suite 325, Waterbury, CT 06708-3104. The office can be reached at 203-753-6776 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639378086 directly on the NPPES registry website.