Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare DelGiorno Pediatric & Adult Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DAWN M CANDIA (DIRECTOR OF CREDENTIALING)
(856) 872-7053
Entity
Organization
Contact information
Practice address
535 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2868
(856) 228-1061
(856) 228-1907
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0117398
CLIA
—
Enumeration date
08/11/2006
Last updated
05/31/2022
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