Healthcare Provider Details
I. General information
NPI: 1457333841
Provider Name (Legal Business Name): FRANCISCO FERNANDO PIZARRO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/19/2005
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8800 WALTHER BLVD
PARKVILLE MD
21234-9001
US
IV. Provider business mailing address
5730 EXECUTIVE DR STE 230
CATONSVILLE MD
21228-1762
US
V. Phone/Fax
- Phone: 410-882-3240
- Fax:
- Phone: 410-882-3240
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 01508 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: