OrganizationActive
Advocare , LLC
NPI 1700489333 · Pediatrics Physician · Philadelphia, PA
Provider details
- NPI number
- 1700489333
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Mcqueary, Ao(856) 872-7052
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2000 Hamilton St Ste 301a
Philadelphia, PA 19130-3874
Phone: (215) 774-1166
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Hamilton St Ste 301a
Philadelphia, PA 19130-3874
Other names (DBA / former)
- Doing business as
- Advocare Fairmount Family Practice
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.