Organization
ADVOCARE , LLC
Active
Other names
Advocare Fairmount Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCQUEARY (AO)
(856) 872-7052
Entity
Organization
Contact information
Practice address
2000 HAMILTON ST STE 301A, PHILADELPHIA, PA 19130-3874
(215) 774-1166
Mailing address
2000 HAMILTON ST STE 301A, PHILADELPHIA, PA 19130-3874
(215) 774-1166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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