Individual
PETER J RECUPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
(540) 953-5158
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS9238
FL
207R00000X
Internal Medicine Physician
Primary
0102202542
VA
208M00000X
Hospitalist Physician
0102202542
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053358143
—
VA
01
—
P00822724
RR MEDICARE
VA
Enumeration date
05/31/2006
Last updated
01/04/2022
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