Organization · Type 2 NPI

Advocare , LLC

Pediatric Adolescent Medicine Physician · Philadelphia, PA

NPI number 1386288702 Active

Practice location

2000 Hamilton St Ste 109
Philadelphia, PA 19130-3847

Call (215) 774-1166 Map

Mailing address

PO Box 71422
Philadelphia, PA 19176-1422

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician Primary	2080A0000X	None listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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NPI record

NPI: 1386288702
Entity type: Organization (Type 2)
Issued: Oct 29, 2019
Last updated: Sep 16, 2022
Status: Active
Subpart: Yes of Advocare , LLC

Other names

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Advocare Fairmount Pediatrics and Adolescent Medicine · other name
Advocare Fairmount Pediatrics and Adolescent Medicine · other name

Authorized official

Charles McQueary
Executive VP and COO
(856) 872-7052

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About NPI 1386288702

Advocare , LLC's National Provider Identifier is 1386288702, issued on Oct 29, 2019. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 16, 2022.