Organization
ADVOCARE , LLC
Active
Other names
Advocare Birchwood Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCQUEARY (EXECUTIVE VP AND CEO)
(856) 872-7052
Entity
Organization
Contact information
Practice address
135 JACKSON RD STE B, MEDFORD, NJ 08055-9231
(609) 654-9961
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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