Diane Louise Fountas in Waterbury - Adolescent Medicine
Diane Louise Fountas - NPI 1376507301
Diane Louise Fountas is a Adolescent Medicine in Waterbury, Connecticut. Diane Louise Fountas practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Diane Louise Fountas is 1376507301. The last update date is 2007-07-09.
Diane Louise Fountas's current location address is 1389 W Main St, Waterbury, Connecticut. You can contact this provider via phone number 2037536776 and fax number 2035731875. The mailing address for Diane Louise Fountas is 1389 W Main St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Louise Fountas |
|---|---|
| Address | 1389 W Main St, Waterbury, Connecticut |
| Phone Number | 2037536776 |
| Fax Number | 2035731875 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376507301 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1389 W Main St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67083104 |
| Phone Number | 2037536776 |
| Fax Number | 2035731875 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 24436 |
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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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Post Comment/ Review Below
What is the Diane Louise Fountas's 1376507301?
The Diane Louise Fountas's NPI (National Provider Identifier) Number is 1376507301. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Diane Louise Fountas is physically located?
The Diane Louise Fountas is situated at the following address: 1389 W Main St, Waterbury, CT 67083104.
What is Diane Louise Fountas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Diane Louise Fountas is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376507301 to Diane Louise Fountas?
The Centers for Medicare & Medicaid Services assigned the 1376507301 to Diane Louise Fountas on 2006-04-14.
As of what date were the details pertaining to Diane Louise Fountas last refreshed?
The information related to the Diane Louise Fountas, including its address, specialty, and other relevant details, was last updated on 2007-07-09.