Diane L. Fountas M.D.

LBN: Diane L. Fountas M.D.
Diane L. Fountas M.D. is an health care organization with primary practice located at 1389 W Main St Suite 325, Waterbury CT 06708-3104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Diane L. Fountas M.D. can be contacted via phone (203) 753-6776, or through Carrasquillo, Tammy 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:
Website:
Map and Directions
Authorized official contact:
Name: Carrasquillo, Tammy
Phone: (203) 753-6776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 024436 Connecticut

Profile Details

NPI number 1639378086
LBN Legal business name Diane L. Fountas M.D.
DBA Doing business as
Authorized official Carrasquillo, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers