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Jay Anthony Requarth, MD
Vascular & Interventional Radiology Physician in Winston Salem, North Carolina
NPI 1033147657

Jay Anthony Requarth is a Vascular & Interventional Radiology Physician based in Winston-Salem, NC and is specialized in Vascular & Interventional Radiology. Jay Anthony Requarth practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Jay Anthony Requarth is 1033147657 and holds a License No. 2005-00403 (North Carolina).

The current practice location address for Jay Anthony Requarth is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
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Provider Profile Details
NPI Number
1033147657
Provider Name
Jay Anthony Requarth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4556618 01 AETNA
189351 01 MEDCOST
5904790 05 NC
86138000 05 WV
10411491 05 VA
142J0 01 BCBS
808939 01 PARTNERS
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
2005-00403 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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