Advocare, LLC
Pediatrics in Marlton, NJ. Organization (NPI-2).
NPI number1770538696
StatusActive
Last updated in NPPESNov 22, 2021
Details
- NPI
- 1770538696
- Entity type
- Organization (NPI-2)
- Legal business name
- Advocare, LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Certification date
- Nov 22, 2021
- Last updated
- Nov 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | – | – |
Other names
- Children'S Health Associates, LLC (Former Legal Business Name)
Practice location
401 Route 73 N Ste 320Marlton, NJ 08053-3426
Phone 856-872-7055
Mailing address
401 Route 73 N Ste 320Marlton, NJ 08053-3426
Phone 856-872-7055
Authorized official
Dawn M Candia
Director Of Credentialing
8568727053
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