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Advocare , LLC

Organization Active NPI Family Medicine Physician · Marlton, NJ

NPI 1700489986 · NPPES record last updated Dec 30, 2021

Key facts

NPI
1700489986
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ADVOCARE , LLC
Practice address
151 Greentree Rd Ste B
Marlton, NJ 08053-9416
Phone
(856) 702-6700
NPI assigned
Nov 19, 2020
Organization subpart
No

Authorized official

Name
Dawn Candia
Title
Ao
Phone
(856) 389-5444

Corporate family (same tax ID) 24

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2246164Advocare Sireci Family Medicine
151 Greentree Road, Marlton, NJ 08053		Certificate of waiverDec 20, 2027

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

151 Greentree Rd Ste B
Marlton, NJ 08053-9416

Mailing address

151 Greentree Rd Ste B
Marlton, NJ 08053-9416
Phone (856) 702-6700

Other names

  • Advocare Sireci Family Medicine Doing business as

Other providers in Marlton, NJ

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

Sources for this page

Verify at the official NPI Registry.