Fountas, Diane Louise

Fountas, Diane Louise is an individual health care provider with primary practice located at 1389 W Main St Suite 325, Waterbury CT 06708-3104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Fountas, Diane Louise can be contacted via phone (203) 753-6776.

Contact Information

Primary practice address
1389 W Main St Suite 325 Waterbury CT 06708-3104
Phone: (203) 753-6776
Fax: (203) 573-1875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 024436 Connecticut

Profile Details

NPI number 1376507301
LBN Legal business name Fountas, Diane Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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