Healthcare Provider Details

I. General information

NPI: 1518526904
Provider Name (Legal Business Name): JUSTINE PIROZZI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2019
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST
DES MOINES IA
50309-1453
US

IV. Provider business mailing address

833 CHESTNUT ST STE 300
PHILADELPHIA PA
19107-4405
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-4497
  • Fax:
Mailing address:
  • Phone: 215-955-2047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR-11650
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberOS022796
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: