Advocare West Deptford Pediatrics

LBN: Advocare, Llc
Advocare West Deptford Pediatrics is an health care organization with primary practice located at 646 Kings Hwy , West Deptford NJ 08096-3145. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Advocare, Llc can be contacted via phone (856) 879-2887, or through Candia, Dawn M via phone (856) 872-7053.

Contact Information

Primary practice address
646 Kings Hwy West Deptford NJ 08096-3145
Fax: (856) 879-2855
Website:
Authorized official contact:
Name: Candia, Dawn M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1750394474
LBN Legal business name Advocare, Llc
DBA Doing business as Advocare West Deptford Pediatrics
Authorized official Candia, Dawn M
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 14th, 2006
Last updated Nov 19th, 2021 - about 3 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 1750394474 NPPES
Other 31D0901275 CLIA
Other 31D0953106 CLIA
MEDICAID 8245908 CLIA

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