# RICARDO O PYFROM MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174777312
- **Authorized official:** MRS. JULIE A WIEHE (BILLING MANAGER)
- **Authorized official phone:** (703) 327-5316

## Contact information

- **Practice address:** 12150 ANNAPOLIS RD, SUITE 305, GLENN DALE, MD 20769-9183
- **Practice address phone:** (301) 809-2515
- **Practice address fax:** (301) 809-2574
- **Mailing address:** 6035 BURKE CENTRE PKWY, SUITE 390, BURKE, VA 22015-3750
- **Mailing address phone:** (703) 327-5316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0053494 | MD | Yes |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 11/13/2015