Dr. Eric R Requa, DO
Family Medicine, Sports Medicine in Marlton, New Jersey
1164788501- Practice location
- 1001 Route 73 N Lowr Level, Marlton, NJ 08053-4524
- Phone
- 844-908-5483
- Fax
- 856-355-7106
- Last updated
- October 15, 2020
Eric Robert Requa is a Family Medicine, Sports Medicine based in Marlton, NJ. Eric Robert Requa practices in Marlton, NJ and has the professional credentials of DO. The NPI Number for Eric Robert Requa is 1164788501 and holds a License No. OS017463 (PA). The current practice location address for Eric Robert Requa is 1001 Route 73 N Lowr Level, Marlton, NJ 08053-4524 and can be reached out via phone at 844-908-5483 and via fax at 856-355-7106.
Provider Profile Details
- NPI Number
- 1164788501
- Provider Name
- Eric Robert Requa
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1001 Route 73 N Lowr Level, Marlton, NJ 08053-4524
- Phone Number
- 844-908-5483
- Fax Number
- 856-355-7106
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2012
- Last Update Date
- October 15, 2020
- Certification Date
- October 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1001 Route 73 N Lowr Level
Marlton, NJ 08053-4524 - City
- Marlton
- State
- New Jersey
- Zip
- 08053-4524
- Phone Number
- 844-908-5483
- Fax Number
- 856-355-7106
Provider Business Mailing Address Details
- Address
- 2000 Crawford Pl Ste 200
Mount Laurel, NJ 08054-3954 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-3954
- Phone Number
- 856-355-0340
- Fax Number
- 856-355-0330
License Information
- License Number (1)
- OS017463
- License State (1)
- PA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 25MB09913200
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine, Sports Medicine providers near Marlton, NJ
View all Family Medicine, Sports Medicine providers in Marlton →- Mitesh Patel, MDFamily Medicine, Sports Medicine · NPI 1093987034
- Ralph R Franks Jr., DOFamily Medicine, Sports Medicine · NPI 1386739449
- Sunny Gupta, DOFamily Medicine, Sports Medicine · NPI 1306097332
- Sophia Caruso, SLPSpeech-Language Pathologist, · NPI 1255161170
- Ms. Tracey CastellaNurse Practitioner, Gerontology · NPI 1346752094
- Michael Hunter, APRN, ACNPC-AGNurse Practitioner, Acute Care · NPI 1316892847
Frequently Asked Questions
What is the NPI number of Dr. Eric R Requa, DO?
The NPI number of Dr. Eric R Requa, DO is 1164788501. It was assigned on April 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Dr. Eric R Requa, DO?
Dr. Eric R Requa, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in PA under license number OS017463.
Where does Dr. Eric R Requa, DO practice?
The practice location is 1001 Route 73 N Lowr Level, Marlton, NJ 08053-4524. The office can be reached at 844-908-5483 (phone) or 856-355-7106 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164788501 directly on the NPPES registry website.