Individual
DR. ELIZABETH ANN RECUPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
103 CONCORDE PL, MANDEVILLE, LA 70471-1854
(619) 648-1247
(888) 354-0043
Mailing address
103 CONCORDE PL, MANDEVILLE, LA 70471-1854
(619) 648-1247
(888) 354-0043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311932
LA
207R00000X
Internal Medicine Physician
Primary
MB67859
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144789001
AMERIHEALTH
NJ
01
—
2996178
AETNA HMO (ADULTS)
NJ
01
—
3110885
AETNA HMO PEDIATRICS
NJ
01
—
4685447
AETNA TRADITIONAL
NJ
01
—
7685447
AETNA TRADITIONAL ADULTS
NJ
01
—
F06020
PHS
NJ
01
—
P2216217
OXFORD
NJ
01
—
RE1437759
PA BLUE SHIELD
PA
Enumeration date
11/22/2005
Last updated
06/14/2024
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