DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DIANE LOUISE FOUNTAS, M.D.

Active

DR. DIANE LOUISE FOUNTAS, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in WATERBURY, Connecticut. NPI 1376507301 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · WATERBURY, CT

Registration Details

NPI Number
1376507301
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2006 (20.363452066572 yrs)
Last Updated
Jul 9, 2007
License
024436 (CT)

Practice Information

Address
1389 W MAIN ST
SUITE 325
WATERBURY, CT, 067083104
Browse CT providers · Browse ZIP 06708
Phone
2037536776
Fax
2035731875
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in WATERBURY, CT

Name Credential NPI
DEBBIE L. CAYABYAB M.D. 1912343278
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.