Advocare, LLC

Organization Active NPI Family Medicine Physician · Hawthorne, NJ

NPI 1639501901 · NPPES record last updated Aug 8, 2013

Key facts

NPI
1639501901
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ADVOCARE, LLC
Practice address
484 Lafayette Ave
Hawthorne, NJ 07506-2522
Phone
(973) 423-4770
Fax
(973) 423-4816
NPI assigned
Aug 8, 2013
Organization subpart
Yes
Parent organization (as reported)
ADVOCARE, LLC

Authorized official

Name
Dr. John M Tedeschi, M.D.
Title
Chairman/Ceo
Phone
(856) 782-3300

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advocare Chalfont Internal Medicine (248 organizations share this tax ID)
Part of
Advocare Chalfont Internal Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

484 Lafayette Ave
Hawthorne, NJ 07506-2522

Mailing address

PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300

Other names

  • Advocare Lozito Medical Associates Doing business as

Other providers in Hawthorne, NJ

All providers in Hawthorne, NJ · Family Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.