| Advanced Spine And Pain, Llc | |
|
400 Cresson Blvd Ste 110 Phoenixville PA 19460-6144 | |
| (888) 985-2727 | |
| Not Available |
| Full Name | Advanced Spine And Pain, Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 400 Cresson Blvd Ste 110, Phoenixville, Pennsylvania |
| Authorized Official Name and Position | Damean William Freas (CEO) |
| Authorized Official Contact | 8889852727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Spine And Pain, Llc 201 Defense Hwy Ste 205 Annapolis MD 21401-7096 Ph: (888) 985-2727 | Advanced Spine And Pain, Llc 400 Cresson Blvd Ste 110 Phoenixville PA 19460-6144 Ph: (888) 985-2727 |
| NPI Number | 1740996586 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 0648358234 |
|---|---|
| Medicare Enrollment ID | O20230523000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740996586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
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