Individual provider · Type 1 NPI
Diane Louise Fountas, MD
Pediatric Adolescent Medicine Physician · Waterbury, CT
NPI number
1376507301
Active
Practice location
1389 W Main St, Suite 325
Waterbury, CT 06708-3104
Fax (203) 573-1875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 024436 (CT) |
Pediatric Adolescent Medicine Physician: 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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About NPI 1376507301
Diane Louise Fountas, MD's National Provider Identifier is 1376507301, issued on Apr 14, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 13, 2026.