Active NPIOrganization

Advanced Spine And Pain Of PA, LLC

Anesthesiology, Pain Medicine in Philadelphia, Pennsylvania

NPI Number1477968014
Practice location
2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378
Fax
856-779-0211
Last updated
February 6, 2015

Advanced Spine And Pain Of PA, LLC is a healthcare organization based in Philadelphia, PA. Advanced Spine And Pain Of PA, LLC practices in Philadelphia, PA. The NPI Number for Advanced Spine And Pain Of PA, LLC is 1477968014 and holds a License No. 25MA08184600 (NJ). The current practice location address for Advanced Spine And Pain Of PA, LLC is 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 and can be reached out via phone at 888-985-2727 and via fax at 856-779-0211.

Provider Profile Details

NPI Number
1477968014
Provider Name
Advanced Spine And Pain Of PA, LLC
Provider Entity Type
Organization
Address
2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378
Phone Number
888-985-2727
Fax Number
856-779-0211
Primary Taxonomy
Anesthesiology, Pain Medicine · 207LP2900X
Organization Subpart
No
Authorized Official
Dr. Young J Lee, MD · Physician, Owner · 888-985-2727
Provider Enumeration Date
June 23, 2014
Last Update Date
February 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378
Zip
19115-4378
Phone Number
888-985-2727
Fax Number
856-779-0211
Philadelphia, PA 19115Get directions →

Provider Business Mailing Address Details

Address
1030 Kings Hwy N
Suite 200
Cherry Hill, NJ 08034-1907
City
Cherry Hill
State
NJ
Zip
08034-1907
Phone Number
888-985-2727
Fax Number
856-779-0211

License Information

License Number (1)
25MA08184600
License State (1)
NJ
Taxonomy (1)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (2)
MD066819L
License State (2)
PA
Taxonomy (2)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (3)
MD427900
License State (3)
PA
Taxonomy (3)
Anesthesiology, Pain Medicine · 207LP2900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advanced Spine And Pain Of PA, LLC?

The NPI number of Advanced Spine And Pain Of PA, LLC is 1477968014. It was assigned on June 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Advanced Spine And Pain Of PA, LLC?

Advanced Spine And Pain Of PA, LLC is registered under the primary taxonomy Anesthesiology, Pain Medicine (code 207LP2900X), licensed in NJ under license number 25MA08184600.

Where does Advanced Spine And Pain Of PA, LLC practice?

The practice location is 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378. The office can be reached at 888-985-2727 (phone) or 856-779-0211 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477968014 directly on the NPPES registry website.

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