Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Atrium Pediatrics
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
301 OLD MARLTON PIKE W, STE 1, MARLTON, NJ 08053-2076
(856) 988-9101
(856) 988-7712
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
—
31D1085920
ADVOCARE ATRIUM PEDIATRICS- CLIA
—
01
—
31D1087657
ADVOCARE ATRIUM PEDIATRICS- CLIA
—
Enumeration date
08/11/2006
Last updated
11/22/2021
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