Individual
DR. JOHN STUART FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
(315) 349-5785
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
(315) 349-5785
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
157622
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00844624
—
NY
Enumeration date
07/26/2006
Last updated
03/07/2023
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