Organization
ADVOCARE LLC
Active
Parent organization
ADVOCARE LLC
Other names
Advocare The Center for Children's Neurology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCARE LLC
Authorized official
DR. JOHN M. TEDESCHI M.D. (CEO/CHAIRMAN)
(856) 782-3300
Entity
Organization
Contact information
Practice address
1000 WHITE HORSE RD, GLENDALE EXECUTIVE CAMPUS SUITE 802, VOORHEES, NJ 08043-4406
(856) 435-0400
(856) 435-1448
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA05933700
NJ
Other
Enumeration date
08/14/2007
Last updated
03/09/2010
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