Organization
ADVOCARE , LLC
Active
Parent organization
ADVOCARE , LLC
Other names
Advocare Vernon Pediatric and Family Care
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
249 STATE RT 94, VERNON, NJ 07462-3327
(973) 827-4550
(973) 827-5845
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(973) 827-4550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D0110784
CLIA
—
Enumeration date
03/01/2007
Last updated
09/28/2022
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