Organization
ADVOCARE, LLC
Active
Parent organization
ADVOCARE, LLC
Other names
Advocare West Morris Pediatrics
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
151 STATE ROUTE 10, SUITE 105, SUCCASUNNA, NJ 07876-1452
(973) 584-0002
(973) 584-7107
Mailing address
PO BOX 71422, PHILADELPHIA, PA 19176-1422
(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
—
31D0115970
CLIA
—
Enumeration date
08/12/2006
Last updated
09/16/2022
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