Healthcare Provider Details

I. General information

NPI: 1508142936
Provider Name (Legal Business Name): ADVOCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SALEM RD STE B RANCOCAS MEDICAL CENTER
WILLINGBORO NJ
08046-2852
US

IV. Provider business mailing address

PO BOX 71422
PHILADELPHIA PA
19176-1422
US

V. Phone/Fax

Practice location:
  • Phone: 609-871-2060
  • Fax: 609-871-5467
Mailing address:
  • Phone: 856-872-7055
  • Fax: 856-872-7055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN M TEDESCHI
Title or Position: CEO/CHAIRMAN
Credential: MD
Phone: 856-782-3300