Advocare , LLC
Internal Medicine in Philadelphia, PA. Organization (NPI-2).
NPI number1932702529
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1932702529
- Entity type
- Organization (NPI-2)
- Legal business name
- Advocare , LLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207N00000X | Dermatology | – | – | |
| 207QS0010X | Family Medicine, Sports Medicine | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – |
Other names
- Advocare Stoll Medical Group (Doing Business As)
Practice location
1528 Walnut St Ste 950Philadelphia, PA 19102-3628
Phone 267-273-1196
Mailing address
1528 Walnut St Ste 950Philadelphia, PA 19102-3628
Authorized official
Charles Mcqueary
Ao
8568727052
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