Organization
ADVOCARE , LLC
Active
Organization
ADVOCARE , LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Main Line Internal Medicine
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
250 W LANCASTER AVE STE 200, PAOLI, PA 19301-1751
(610) 889-7530
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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