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Organization
ADVOCARE, LLC
Active
Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Heights Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DR. JOHN M TEDESCHI M.D. (CEO/CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
318 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1705
(856) 547-6000
(856) 546-3189
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0117993
CLIA
—
05
—
6852408
—
NJ
Enumeration date
08/21/2006
Last updated
09/16/2022
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