NPI 1629208012 · live from the CMS NPI Registry
Advocare, LLC
Family Medicine in Moorestown, NJ. National Provider Identifier 1629208012, active.
NPI record
| NPI | 1629208012 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 301 N Church St, Suite 101, Moorestown, NJ 08057 |
| Practice phone | 856-234-2101 |
| Mailing address | Po Box 3001, Voorhees, NJ 08043 |
| Enumerated | July 20, 2009 |
| Last updated | September 23, 2014 |
| Authorized official | John Tedeschi, Ceo/ Chairman |
| Other names | Advocare Moorestown Family Practice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.