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Organization

ADVOCARE, LLC

Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Delran Pediatrics
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
5045 ROUTE 130, SUITE F, DELRAN, NJ 08075-9707
(856) 461-1717
(856) 461-1143
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 782-3300
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31D0881246
CLIA
Enumeration date
08/11/2006
Last updated
05/31/2022
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