Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Greentree Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DR. JOHN M TEDESCHI CPCS (CEO/CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
127 CHURCH RD, SUITE 800, MARLTON, NJ 08053-9402
(856) 988-7899
(856) 988-9499
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D1044755
CLIA
—
Enumeration date
08/11/2006
Last updated
11/22/2021
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