Organization
AVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Gericare
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DR. JOHN M. TEDESCHI MD (CEO/ CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Mailing address
PO BOX 3001, VOORHEES, NJ 08043-0598
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/07/2010
Last updated
09/19/2014
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