NPI | 1700489333 |
---|---|
Doing Business As | ADVOCARE FAIRMOUNT FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | CHARLES MCQUEARY AO 856-872-7052 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2020-11-17 |
Last Update Date | 2020-11-17 |