Individual
DR. THOMAS J FOUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3001
(585) 275-5863
(585) 273-5761
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 784-9861
(585) 427-8424
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us