Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Woolwich Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DR. JOHN M. TEDESCHI MD (CEO/ CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
300 LEXINGTON RD BLDG B, SUITE 200, SWEDESBORO, NJ 08085-1278
(856) 241-2111
(856) 241-2243
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D1086880
CLIA
—
Enumeration date
05/15/2008
Last updated
10/27/2021
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