Lindsay Ann Requa, DO | |
318 N Haddon Ave Ste A, Haddonfield, NJ 08033-1702 | |
(856) 428-3746 | |
(856) 310-0312 |
Full Name | Lindsay Ann Requa |
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Gender | Female |
Speciality | Pediatrics |
Location | 318 N Haddon Ave Ste A, Haddonfield, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265799050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS017561 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 25MB09948500 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Lindsay Ann Requa, DO 401 Route 73 N Bldg 10, Marlton, NJ 08053-3425 Ph: (856) 872-7055 | Lindsay Ann Requa, DO 318 N Haddon Ave Ste A, Haddonfield, NJ 08033-1702 Ph: (856) 428-3746 |
Dr. Theresa M Welsh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-429-6719 Fax: 856-429-6898 | |
Dr. Kevin J King, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 220 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-429-6719 Fax: 856-429-6748 | |
Dr. Henry J Smergel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 220 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-429-6719 Fax: 856-429-6748 | |
Dr. James Weidner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 318 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-428-3746 Fax: 877-446-4094 | |
Dr. Erin Coleen Milligan-milburn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 220 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-429-6719 | |
Dr. Claire L Caltabiano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-429-6719 Fax: 856-429-6748 |