IndividualActive
Diane Fountas, M.D.
NPI 1376507301 · Pediatric Adolescent Medicine Physician · Waterbury, CT
Provider details
- NPI number
- 1376507301
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- License
- 024436 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1389 W Main St
Suite 325
Waterbury, CT 06708-3104
Phone: (203) 753-6776
Fax: (203) 573-1875
Approximate (ZIP-level) locationGet directions
Mailing address
1389 W Main St
Waterbury, CT 06708-3104
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.