Organization
ADVOCARE , LLC
Active
Other names
Advocare The Modern Woman OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAYNE HIEBERT (CHIEF, PAYOR RELATIONS)
(856) 872-7055
Entity
Organization
Contact information
Practice address
131 COLUMBIA TPKE STE 1, FLORHAM PARK, NJ 07932-2181
(973) 949-1286
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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