Organization
ADVOCARE LLC
Active
Other names
Advocare Cedar Bridge Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M CANDIA (DIRECTOR, CREDENTIALING)
(856) 872-7053
Entity
Organization
Contact information
Practice address
249 S MAIN ST STE 2, BARNEGAT, NJ 08005-2369
(609) 607-1010
(609) 607-9992
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(856) 872-7055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PEDIATRICS
PRACTICE TYPE
NJ
Enumeration date
07/11/2021
Last updated
07/11/2021
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