Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Hammonton Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DAWN M CANDIA (DIRECTOR, CREDENTIALING)
(856) 872-7053
Entity
Organization
Contact information
Practice address
856 S WHITE HORSE PIKE, AUGUSTA PROFESSIONAL CENTER, SUITE 2, HAMMONTON, NJ 08037-2032
(609) 704-8848
(609) 704-8849
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0959843
CLIA
—
Enumeration date
08/11/2006
Last updated
09/16/2022
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