ANDREA MARIE REQUA

HARRISBURG, PA
NPI1144284654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS007422E)
Enumeration Date2006-04-12
Last Update Date2016-10-19
Business Address
-- ANDREA MARIE REQUA D.O.
5125 JONESTOWN RD STE 105
HARRISBURG, PA 17112-2987
Phone number: 717-943-1566
Mailing Address
-- ANDREA MARIE REQUA D.O.
PO BOX 758952
BALTIMORE, MD 21275-8952
Phone number: 804-968-5700