Organization
ADVOCARE , LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Pediatric and Adolescent Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE , LLC
Authorized official
CHARLES MCQUEARY (EXECUTIVE VICE PRESIDENT/COO)
(856) 782-3300
Entity
Organization
Contact information
Practice address
596 ANDERSON AVE STE 207, CLIFFSIDE PARK, NJ 07010-1856
(201) 840-9922
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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