MEDICARE: ADVOCARE , LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician
2	207QS0010X	Sports Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1073259370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCARE , LLC

Provider Business Mailing Address
First Line	:	401 ROUTE 73 N STE 320
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3426
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1528 WALNUT ST STE 900
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3622
Country	:	US
Telephone Number	:	267-273-1196
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DAWN M CANDIA
Credential	:
Telephone Number	:	856-389-5444

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	11/11/2022

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Directions to “ADVOCARE , LLC ” Practice Location

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