Organization
ADVOCARE , LLC
Active
Other names
Advocare Stoll Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCQUEARY (AO)
(856) 872-7052
Entity
Organization
Contact information
Practice address
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102-3628
(267) 273-1196
Mailing address
1528 WALNUT ST STE 950, PHILADELPHIA, PA 19102-3628
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
11/17/2020
Last updated
08/01/2022
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