| Advocare Main Street Medical Associates | |
|
740 Marne Hwy Suite 206 Moorestown NJ 08057-3126 | |
| (856) 778-4009 | |
| (856) 778-4014 |
| Full Name | Advocare Main Street Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 740 Marne Hwy, Moorestown, New Jersey |
| Authorized Official Name and Position | John M Tedeschi (CEO/CHAIRMAN) |
| Authorized Official Contact | 8567823300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocare Main Street Medical Associates Po Box 3001 Voorhees NJ 08043-0598 Ph: (856) 782-3300 | Advocare Main Street Medical Associates 740 Marne Hwy Suite 206 Moorestown NJ 08057-3126 Ph: (856) 778-4009 |
| NPI Number | 1720141351 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720141351 | NPI | - | NPPES |
| 31D0978203 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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