OrganizationActive
Advocare , LLC
NPI 1386288702 · Pediatric Adolescent Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1386288702
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advocare , LLC
- Authorized official
- Charles Mcqueary, Executive Vp and Coo
Practice location
2000 Hamilton St Ste 109
Philadelphia, PA 19130-3847
Phone: (215) 774-1166
Mailing address
Po Box 71422
Philadelphia, PA 19176-1422
Registry dates
- Enumerated
- 2019-10-29
- Last updated
- 2022-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.