Healthcare Provider Details

I. General information

NPI: 1619829561
Provider Name (Legal Business Name): ADVOCARE , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HAVERFORD RD STE 103
HAVERFORD PA
19041-1139
US

IV. Provider business mailing address

401 ROUTE 73 N BLDG 10
MARLTON NJ
08053-3425
US

V. Phone/Fax

Practice location:
  • Phone: 610-642-3960
  • Fax: 610-642-9612
Mailing address:
  • Phone: 856-872-7055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAWN M CANDIA
Title or Position: DIRECTOR, CREDENTIALING
Credential:
Phone: 856-872-7055