Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Main Street Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DR. JOHN M TEDESCHI M.D. (CEO/CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
740 MARNE HWY, SUITE 206, MOORESTOWN, NJ 08057-3126
(856) 778-4009
(856) 778-4014
Mailing address
PO BOX 3001, VOORHEES, NJ 08043-0598
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0978203
CLIA
—
Enumeration date
12/18/2006
Last updated
09/19/2014
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