ADVANCED SPINE AND PAIN LLC NPI 1730359084

NPI Information

NPI: 1730359084
Provider Name: ADVANCED SPINE AND PAIN LLC
Classification: Pain Medicine - 208VP0014X
Specialization: Interventional Pain Medicine
Entity Type: Organization
:
Address: 2 8TH ST
HAMMONTON, NJ
ZIP 08037
Phone: (888) 985-2727

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NPI Details

ADVANCED SPINE AND PAIN LLC is an interventional pain medicine pain medicine in Hammonton, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ADVANCED SPINE AND PAIN LLC NPI is 1730359084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2 8TH ST
HAMMONTON, NJ
ZIP 08037-347
Phone: (888) 985-2727
Fax: (856) 779-0211

The provider's authorized official is Damean Freas .
The authorized official title is Ceo and has the following contact phone number (888) 985-2727.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 2/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103G00000X	Clinical Neuropsychologist		No
2	103TC0700X	Psychologist	Clinical	No
3	207LP2900X	Anesthesiology	Pain Medicine	No
4	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
5	2084N0400X	Psychiatry & Neurology	Neurology	No
6	208VP0014X	Pain Medicine	Interventional Pain Medicine	Yes
7	235Z00000X	Speech-Language Pathologist		No
8	332B00000X	Durable Medical Equipment & Medical Supplies		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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