Advocare Main Street Medical Associates

LBN: Advocare, Llc
Advocare Main Street Medical Associates is an health care organization with primary practice located at 740 Marne Hwy Suite 206, Moorestown NJ 08057-3126. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Advocare, Llc can be contacted via phone (856) 778-4009, or through Tedeschi, John M via phone (856) 782-3300.

Contact Information

Primary practice address
740 Marne Hwy Suite 206 Moorestown NJ 08057-3126
Fax: (856) 778-4014
Website:
Authorized official contact:
Name: Tedeschi, John M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1720141351
LBN Legal business name Advocare, Llc
DBA Doing business as Advocare Main Street Medical Associates
Authorized official Tedeschi, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2006
Last updated Sep 19th, 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 1720141351 NPPES
Other 31D0978203 CLIA

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