Provider Demographics
NPI:1922701275
Name:PIONTEK, JUSTINE (MA)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:
Last Name:PIONTEK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38107-3115
Mailing Address - Country:US
Mailing Address - Phone:206-335-9952
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MEMPHIS
Practice Address - Street 2:3798 WALKER AVENUE
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-3570
Practice Address - Country:US
Practice Address - Phone:901-678-2725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program