Organization · NPI-2

Advocare , LLC

Internal Medicine · Paterson, NJ

NPI number1730959057
StatusActive
Last updated in NPPESFeb 6, 2024

Details

NPI
1730959057
Entity type
Organization (NPI-2)
Legal business name
Advocare , LLC
Organization subpart
Yes
Enumeration date
Jan 8, 2024
Certification date
Feb 6, 2024
Last updated
Feb 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––

Other names

  • Advocare Prime Family Care (Doing Business As)

Practice location

1044 Main St
Paterson, NJ 07503-2212

Phone 973-510-2444 · Fax 973-278-2818

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Phone 856-872-7055

Other practice locations

1042 Main St
Paterson, NJ 07503-2212

Phone 973-510-2444 · Fax 973-278-2818

Authorized official

Dawn M Candia
Director
8563895444

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