Advocare, LLC
Organization Active NPI Family Medicine Physician · Moorestown, NJ
NPI 1629208012 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1629208012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 301 N Church St
Suite 101
Moorestown, NJ 08057-2498 - Phone
- (856) 234-2101
- Fax
- (856) 235-2244
- NPI assigned
- Jul 20, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE, LLC
Authorized official
- Name
- Dr. John M. Tedeschi, MD
- Title
- Ceo/ Chairman
- Phone
- (856) 782-3300
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Advocare Chalfont Internal Medicine
- Part of
- Advocare Chalfont Internal Medicine
Locations
400 N Church St
Ste 110
Moorestown, NJ 08057
Phone (856) 231-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
301 N Church St
Suite 101
Moorestown, NJ 08057-2498
Mailing address
PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D0118892 | Other | CLIA |
Other names
- Advocare Moorestown Family Practice
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All providers in Moorestown, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.