Individual
DR. THOMAS J FOUNTAINE
Active
Individual
DR. THOMAS J FOUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
264068
NY
2080P0207X
Pediatric Hematology & Oncology Physician
264068
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2010
Last updated
07/21/2022
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