Advocare Medford Peds & Adolescent Med

LBN: Advocare, Llc
Advocare Medford Peds & Adolescent Med is an health care organization with primary practice located at 520 Stokes Rd Bldg. B10, Medford NJ 08055-2904. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Advocare, Llc can be contacted via phone (609) 654-9112, or through Tedeschi, John M via phone (856) 782-3300.

Contact Information

Primary practice address
520 Stokes Rd Bldg. B10 Medford NJ 08055-2904
Phone: (609) 654-9112
Fax: (609) 654-7404
Website:
Map and Directions
Authorized official contact:
Name: Tedeschi, John M Doctor of Medicine (MD)
Phone: (856) 782-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1659383602
LBN Legal business name Advocare, Llc
DBA Doing business as Advocare Medford Peds & Adolescent Med
Authorized official Tedeschi, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 11th, 2006
Last updated Aug 26th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659383602 NPPES
Other 31D1105569 ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA
Other 31D0118785 ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA

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