NPI 1730217936 · live from the CMS NPI Registry
Advocare , LLC
Pediatrics in Vernon, NJ. National Provider Identifier 1730217936, active.
NPI record
| NPI | 1730217936 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 249 State Rt 94, Vernon, NJ 07462 |
| Practice phone | 973-827-4550 |
| Mailing address | 401 Route 73 N Ste 320, Marlton, NJ 08053 |
| Enumerated | March 1, 2007 |
| Last updated | September 28, 2022 |
| Authorized official | John Tedeschi, Ceo/Chairman |
| Other names | Advocare Vernon Pediatric And Family Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.