Healthcare Provider Details

I. General information

NPI: 1396173431
Provider Name (Legal Business Name): ADVOCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 CHAPEL AVE W STE 100
CHERRY HILL NJ
08002-2048
US

IV. Provider business mailing address

PO BOX 71422
PHILADELPHIA PA
19176-1422
US

V. Phone/Fax

Practice location:
  • Phone: 856-665-2017
  • Fax: 856-488-6769
Mailing address:
  • Phone: 856-872-7055
  • Fax: 856-504-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES MCQUEARY
Title or Position: CEO
Credential:
Phone: 856-782-3300