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Organization

ADVOCARE, LLC

Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Sicklerville Internal Medicine 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
485 WILLIAMSTOWN RD, ADVOCARE SICKLERVILLE INTERNAL MEDCINE ASSOCIATES, SICKLERVILLE, NJ 08081-1777
(856) 237-8100
(856) 374-9495
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31D0962378
CLIA
Enumeration date
10/29/2008
Last updated
07/01/2019
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