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NPI Code Detail

MEDICARE: ADVOCARE , LLC

MEDICARE: ADVOCARE , LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1700489333
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVOCARE , LLC
Provider Business Mailing Address
First Line : 2000 HAMILTON ST STE 301A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-3874
Country : US
Telephone Number : 215-774-1166
Fax Number :
Provider Business Practice Location Address
First Line : 2000 HAMILTON ST STE 301A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-3874
Country : US
Telephone Number : 215-774-1166
Fax Number :
Authorized Official
Title or Position : AO
Name : CHARLES MCQUEARY
Credential :
Telephone Number : 856-872-7052
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ADVOCARE , LLC ” Practice Location

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