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Organization

ADVOCARE, LLC

Active
Parent organization
ADVOCARE, LLC
Other names
Advocare Garden State Pediatric and Adolescent Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVOCARE, LLC
Authorized official
CHARLES MCQUEARY (CEO)
(856) 872-7052
Entity
Organization

Contact information

Practice address
2133 STATE HIGHWAY 33, HAMILTON SQUARE, NJ 08690-1740
(609) 581-5100
(609) 581-5134
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(856) 872-7055
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31D0676726
CLIA
Enumeration date
05/19/2009
Last updated
09/16/2022
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