Organization · NPI-2

Advocare, LLC

Family Medicine · Voorhees, NJ

NPI number1629368956
StatusActive
Last updated in NPPESAug 18, 2014

Details

NPI
1629368956
Entity type
Organization (NPI-2)
Legal business name
Advocare, LLC
Organization subpart
Yes
Enumeration date
Apr 7, 2011
Last updated
Aug 18, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Advocare Voorhees Family Medicine (Doing Business As)

Practice location

705 White Horse Rd E
Suite D102
Voorhees, NJ 08043-2468

Phone 856-783-0695 · Fax 856-783-8083

Mailing address

Po Box 3001
Voorhees, NJ 08043-0598

Phone 856-782-3300 · Fax 856-504-8029

Authorized official

John M Tedeschi
Ceo/ Chairman
8567823300

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