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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADVANCED SPINE AND PAIN OF PA, LLC

Active Organization

ADVANCED SPINE AND PAIN OF PA, LLC is a Pain Medicine (Anesthesiology) organization located in PHILADELPHIA, Pennsylvania. NPI 1477968014 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · PHILADELPHIA, PA

Registration Details

NPI Number
1477968014
Provider Type
Organization
NPI Issued
Jun 23, 2014 (12.188511187498 yrs)
Last Updated
Feb 6, 2015
Licenses
25MA08184600 (NJ)
MD066819L (PA)
MD427900 (PA)

Practice Information

Address
2000 GRANT AVE
SUITE 103
PHILADELPHIA, PA, 191154378
Browse PA providers · Browse ZIP 19115
Phone
8889852727
Fax
8567790211
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
Additional Specialty
Neurology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.