NPI 1720141351 · live from the CMS NPI Registry
Advocare, LLC
Family Medicine in Moorestown, NJ. National Provider Identifier 1720141351, active.
NPI record
| NPI | 1720141351 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 740 Marne Hwy, Suite 206, Moorestown, NJ 08057 |
| Practice phone | 856-778-4009 |
| Mailing address | Po Box 3001, Voorhees, NJ 08043 |
| Enumerated | December 18, 2006 |
| Last updated | September 19, 2014 |
| Authorized official | John Tedeschi, Ceo/Chairman |
| Other names | Advocare Main Street Medical Associates |
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.