Advocare, LLC
Organization Active NPI Pediatrics Physician · Eddystone, PA
NPI 1891706131 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1891706131
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADVOCARE, LLC
- Practice address
- 1510 Chester Pike Ste 105
Baldwin Towers
Eddystone, PA 19022-1391 - Phone
- (484) 485-2005
- Fax
- (484) 485-2009
- 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) 15
Practitioners 1
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 |
Addresses
Primary practice location
1510 Chester Pike Ste 105
Baldwin Towers
Eddystone, PA 19022-1391
Mailing address
PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39D0878611 | Other | ADVOCARE CHILDRENS MEDICAL ASSOCIATES- CLIA | |
| 39D0878614 | Other | ADVOCARE CHILDRENS MEDICAL ASSOCIATES- CLIA |
Other names
- Advocare Children's Medical Associates
Other providers in Eddystone, PA
All providers in Eddystone, PA · Pediatrics Physician in Pennsylvania
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.