Advocare, LLC
Organization Active NPI Pediatrics Physician · Medford, NJ
NPI 1659383602 · NPPES record last updated Aug 26, 2014
Key facts
- NPI
- 1659383602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 520 Stokes Rd
BLDG. B10
Medford, NJ 08055-2904 - Phone
- (609) 654-9112
- Fax
- (609) 654-7404
- NPI assigned
- Aug 11, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOCARE, LLC
Authorized official
- Name
- Dr. John M Tedeschi, M.D.
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Pediatric Adolescent Medicine Physician |
2080A0000X |
Addresses
Primary practice location
520 Stokes Rd
BLDG. B10
Medford, NJ 08055-2904
Mailing address
PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D1105569 | Other | ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA | |
| 31D0118785 | Other | ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA |
Other names
- Advocare Medford Peds & Adolescent Med
Other providers in Medford, NJ
- Ann Yelland Adornetto
- Kayla Adornetto
- Michael John Adornetto
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- Advocare , LLC
- Advocare, LLC
- Akshar Health Associates, LLC
- Ghadeer Alami
- Anthony Michael Albert-Puleo
- Dylan Michael Albertson
All providers in Medford, NJ · Pediatrics 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 Aug 26, 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.