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Advocare LLC

Organization Active NPI Neurology with Special Qualifications in Child Neurology Physician · Voorhees, NJ

NPI 1992997894 · NPPES record last updated Mar 9, 2010

Key facts

NPI
1992997894
Entity type
Organization (NPI type 2)
Primary specialty
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
License
25MA05933700 (NJ)
Legal business name
ADVOCARE LLC
Practice address
1000 White Horse Rd
Glendale Executive Campus Suite 802
Voorhees, NJ 08043-4406
Phone
(856) 435-0400
Fax
(856) 435-1448
NPI assigned
Aug 14, 2007
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) 12

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
Neurology with Special Qualifications in Child Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2084N0402X 25MA05933700 NJ Yes

Addresses

Primary practice location

1000 White Horse Rd
Glendale Executive Campus Suite 802
Voorhees, NJ 08043-4406

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other names

  • Advocare The Center for Children's Neurology Doing business as

Other providers in Voorhees, NJ

All providers in Voorhees, NJ · Neurology with Special Qualifications in Child Neurology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.