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Organization

ADVOCARE, LLC

Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Merchantville Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVOCARE, LLC
Authorized official
DAWN M CANDIA (DIRECTOR)
(856) 872-7053
Entity
Organization

Contact information

Practice address
1600 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2814
(856) 665-7337
(856) 665-8246
Mailing address
401 ROUTE 73 N STE 120, MARLTON, NJ 08053-3429
(856) 334-5601
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31D0707941
CLIA
Enumeration date
08/11/2006
Last updated
11/22/2021
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