Healthcare Provider Details

I. General information

NPI: 1851303846
Provider Name (Legal Business Name): ADVOCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 MINE BROOK RD
BERNARDSVILLE NJ
07924-2125
US

IV. Provider business mailing address

401 ROUTE 73 N STE 320
MARLTON NJ
08053-3426
US

V. Phone/Fax

Practice location:
  • Phone: 908-766-0034
  • Fax: 908-766-5065
Mailing address:
  • Phone: 856-872-7055
  • Fax: 856-762-1775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. DAWN CANDIA
Title or Position: DIRECTOR
Credential:
Phone: 856-389-5444