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Organization

ADVOCARE, LLC

Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Berlin Medical Associates
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
339 N ROUTE 73, SUITE 1, BERLIN, NJ 08009-9707
(856) 767-8228
(856) 753-7836
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207RC0000X
Cardiovascular Disease Physician
208100000X
Physical Medicine & Rehabilitation Physician
2085R0202X
Diagnostic Radiology Physician
208D00000X
General Practice Physician

Other

Enumeration date
09/04/2014
Last updated
10/27/2021
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