Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Broomall Pediatric Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE, LLC
Authorized official
MR. CHARLES MCQUEARY (CEO)
(856) 782-3300
Entity
Organization
Contact information
Practice address
1246 W CHESTER PIKE, SUITE 303, WEST CHESTER, PA 19382-5683
(610) 692-2605
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
(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
—
39D0203503
CLIA
—
Enumeration date
08/11/2006
Last updated
11/22/2021
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