Organization
ADVOCARE , LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Fairmount Pediatrics and Adolescent Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE , LLC
Authorized official
CHARLES MCQUEARY (EXECUTIVE VP AND COO)
(856) 872-7052
Entity
Organization
Contact information
Practice address
2000 HAMILTON ST STE 109, PHILADELPHIA, PA 19130-3847
(215) 774-1166
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
09/16/2022
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