Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Heights Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DR. JOHN M TEDESCHI M.D. (CEO/CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
318 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1705
(856) 547-6000
(856) 546-3189
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0117993
CLIA
—
05
—
6852408
—
NJ
Enumeration date
08/21/2006
Last updated
09/16/2022
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