Advocare Pediatric Medical Associates

LBN: Advocare, Llc
Advocare Pediatric Medical Associates is an health care organization with primary practice located at 420 W Township Line Rd , Havertown PA 19083-5210. 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 (610) 449-6200, or through Mcqueary, Charles via phone (856) 872-7055.

Contact Information

Primary practice address
420 W Township Line Rd Havertown PA 19083-5210
Fax: (610) 449-0775
Website:
Authorized official contact:
Name: Mcqueary, Charles

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1265456875
LBN Legal business name Advocare, Llc
DBA Doing business as Advocare Pediatric Medical Associates
Authorized official Mcqueary, Charles
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jun 28th, 2019 - about 7 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 1265456875 NPPES
Pennsylvania MEDICAID 101628997
Pennsylvania Other 021601A

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