| NPI | 1386288702 |
|---|---|
| Other Name | ADVOCARE FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CHARLES MCQUEARY Executive VP And COO 856-872-7052 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2022-09-16 |