Individual
DR. DAVID W FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11108
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y002791 NH05
ANTHEM MCH TAX ID
NH
01
—
01Y002791NH02
BLUE CROSS
NH
01
—
101250
TUFTS
NH
01
—
2486283
AETNA
NH
01
—
294664
CIGNA
NH
01
—
300113664
RAILROAD MEDICARE
NH
05
—
30201186
—
NH
Enumeration date
04/17/2006
Last updated
09/08/2023
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