Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Main Line Pediatrics
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
701 MONTGOMERY AVE, SUITE 18, PENN VALLEY, PA 19072-2036
(610) 642-9200
(610) 649-4723
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
11/22/2021
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