Search › New Jersey › 207QS0010X
Eric Requa, D.O
NPI 1164788501 · on the registry since 2012
Practice
- Address
- 1001 Route 73 N Lowr Level
Marlton, NJ 08053 - Phone
- (844) 908-5483
- Fax
- (856) 355-7106
- Clinicians at this address
- 6
Additional practice sites
- 315 Route 70 E, Cherry Hill, NJ
- 315 Route 70 E, Cherry Hill, NJ
- 128 Route 70 Ste 1, Medford, NJ
- 602 W Cuthbert Blvd Unit 26, Haddon Township, NJ
- 401 Young Ave Ste 180, Moorestown, NJ
- 1001 Route 73 N, Marlton, NJ
- 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ
- 158 Route 73 Ste B, Voorhees, NJ
- 555 High St Ste 16a, Mount Holly, NJ
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207Q00000X
- Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey