# ADVOCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advocare Agnello Obstestrics and Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457734311
- **Authorized official:** MR. DEWAYNE HIEBERT (CHIEF, PAYOR RELATIONS AND POPULATI)
- **Authorized official phone:** (856) 872-7055

## Contact information

- **Practice address:** 16 POCONO RD, SUITE 105, DENVILLE, NJ 07834-2901
- **Practice address phone:** (973) 664-9211
- **Practice address fax:** (973) 664-9411
- **Mailing address:** PO BOX 71422, PHILADELPHIA, PA 19176-1422
- **Mailing address phone:** (856) 782-3300
- **Mailing address fax:** (856) 504-8029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 05/02/2022