Advanced Spine and Pain, LLC
Organization Active NPI Non-Pharmacy Dispensing Site · Hammonton, NJ
NPI 1104352335 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1104352335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- 25MA09802600 (NJ)
- Legal business name
- ADVANCED SPINE AND PAIN, LLC
- Practice address
- 2 8TH St
Hammonton, NJ 08037-3347 - Phone
- (888) 985-2727
- Fax
- (484) 212-7641
- NPI assigned
- May 9, 2017
- Organization subpart
- No
Authorized official
- Name
- Damean William Freas
- Title
- Ceo
- Phone
- (410) 571-2946
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Advanced Spine and Pain LLC
Locations
2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 25MA09802600 | NJ | Yes |
Addresses
Primary practice location
2 8TH St
Hammonton, NJ 08037-3347
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (443) 221-4396
Other names
- Relievus
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- Philomena Acquah
- Jacqui Lynette Adamson
- Luz S Adkins
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- Advanced Spine and Pain LLC
- Advanced Spine and Pain, LLC
- Adventure Mental Health, LLC
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- Advocare, LLC
- Advocare, LLC
All providers in Hammonton, NJ · Non-Pharmacy Dispensing Site in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.