Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Grove Family Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE , LLC
Authorized official
CHARLES MCQUEARY (EXECUTIVE VP AND COO)
(856) 872-7055
Entity
Organization
Contact information
Practice address
132 GROVE ST, SUITE A, HADDONFIELD, NJ 08033-1224
(856) 354-2211
(856) 354-6181
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119164
—
NJ
01
—
31D0911582
CLIA
—
Enumeration date
05/23/2006
Last updated
04/06/2021
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