Individual
JASON HARRY PECORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VCUHS DEPT OF IM: PULMONARY CRITICAL CARE, 1001 E. LEIGH STREET, RICHMOND, VA 23298
(804) 828-8786
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116035048
VA
207RP1001X
Pulmonary Disease Physician
0116035048
VA
Other
Enumeration date
04/22/2021
Last updated
07/01/2024
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