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1639378086
DIANE L. FOUNTAS M.D.
WATERBURY, CT
NPI
1639378086
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Entity Type
Organization
Authorized Contact
TAMMY CARRASQUILLO
Office Manager
203-753-6776
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CT 024436)
Enumeration Date
2007-07-16
Last Update Date
2007-07-16
Business Address
DIANE L. FOUNTAS M.D.
1389 W MAIN ST SUITE 325
WATERBURY, CT 06708-3104
Phone number: 203-753-6776
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Mailing Address
DIANE L. FOUNTAS M.D.
1389 W MAIN ST SUITE 325
WATERBURY, CT 06708-3104
Phone number: 203-753-6776
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