Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ERIC ROBERT REQUA, D.O.
ActiveDR. ERIC ROBERT REQUA, D.O. is a Sports Medicine healthcare provider located in MARLTON, New Jersey. NPI 1164788501 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MARLTON, NJ
Registration Details
- NPI Number
- 1164788501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2012 (14.301726846999 yrs)
- Last Updated
- Oct 15, 2020
- Licenses
-
OS017463 (PA)25MB09913200 (NJ)
Practice Information
- Address
-
1001 ROUTE 73 N LOWR LEVELMARLTON, NJ, 080534524Browse NJ providers · Browse ZIP 08053
- Phone
- 8449085483
- Fax
- 8563557106
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in MARLTON, NJ
| Name | Credential | NPI |
|---|---|---|
| RALPH ROBERT FRANKS JR. | DO | 1386739449 |
| CATHARINE C MAYER | M.D. | 1164553426 |
| MITESH PATEL | M.D. | 1093987034 |
| SUNNY GUPTA | DO | 1306097332 |
| DR. JACLYN BERONILLA RODRIGUEZ | D.O. | 1750762027 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.