Healthcare Provider Details

I. General information

NPI: 1831231802
Provider Name (Legal Business Name): MAGALI J FONTAINE MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 GREENTREE RD BLDG 5, 3RD FLR
PITTSBURGH PA
15220-3508
US

IV. Provider business mailing address

6014 WALNUT ST
PITTSBURGH PA
15206-4220
US

V. Phone/Fax

Practice location:
  • Phone: 650-450-1459
  • Fax: 412-209-7325
Mailing address:
  • Phone: 650-450-1459
  • Fax: 412-209-7325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License NumberMD493577
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: