Healthcare Provider Details
I. General information
NPI: 1639053291
Provider Name (Legal Business Name): ADVOCARE , LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 DRUM POINT RD
BRICK NJ
08723-6221
US
IV. Provider business mailing address
401 ROUTE 73 N BLDG 10, SUITE 320
MARLTON NJ
08053
US
V. Phone/Fax
- Phone: 732-477-8988
- Fax: 732-477-8980
- Phone: 856-872-7055
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAWN
M
CANDIA
Title or Position: DIRECTOR
Credential:
Phone: 856-389-5444