Individual provider · Type 1 NPI

Jay Anthony Requarth, MD

Vascular & Interventional Radiology Physician · Winston Salem, NC

NPI number 1033147657 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2255 Map

Mailing address

PO Box 344
Winston-Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204X2005-00403 (NC)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1033147657

Jay Anthony Requarth, MD's National Provider Identifier is 1033147657, issued on Jun 30, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 27, 2012.