# ADVOCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVOCARE, LLC
- **Other names:** Advocare Heights Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194831511
- **Legal business name:** ADVOCARE, LLC
- **Authorized official:** DR. JOHN M TEDESCHI M.D. (CEO/CHAIRMAN)
- **Authorized official phone:** (856) 782-3300

## Contact information

- **Practice address:** 318 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1705
- **Practice address phone:** (856) 547-6000
- **Practice address fax:** (856) 546-3189
- **Mailing address:** PO BOX 71422, PHILADELPHIA, PA 19176-1422
- **Mailing address phone:** (856) 872-7055
- **Mailing address fax:** (856) 504-8029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 09/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31D0117993 | CLIA | — |
| 05 | — | 6852408 | — | NJ |