Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare South Jersey Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
CHARLES MCQUEARY (CEO)
(856) 872-7052
Entity
Organization
Contact information
Practice address
1949 MARLTON PIKE E STE 1, CHERRY HILL, NJ 08003-2121
(856) 424-6050
(856) 424-2943
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
—
31D0117249
ADVOCARE SOUTH JERSEY PEDIATRICS- CLIA
—
01
—
31D0119922
ADVOCARE SOUTH JERSEY PEDIATRICS- CLIA
—
Enumeration date
08/12/2006
Last updated
10/27/2021
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