Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Sussex County Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE , LLC
Authorized official
CHARLES MCQUEARY (EXECUTIVE VICE PRESIDENT AND COO)
(856) 872-7055
Entity
Organization
Contact information
Practice address
39 NEWTON SPARTA RD, NEWTON, NJ 07860-2773
(973) 383-9841
(973) 383-7989
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151262
—
NJ
01
—
31D0115763
CLIA
—
Enumeration date
01/20/2007
Last updated
11/22/2021
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