# ADVANCED SPINE AND PAIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Relievus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104352335
- **Authorized official:** DAMEAN WILLIAM FREAS (CEO)
- **Authorized official phone:** (410) 571-2946

## Contact information

- **Practice address:** 2 8TH ST, HAMMONTON, NJ 08037-3347
- **Practice address phone:** (888) 985-2727
- **Practice address fax:** (484) 212-7641
- **Mailing address:** 201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
- **Mailing address phone:** (443) 221-4396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MA09802600 | NJ | Yes |

## Other

- **Enumeration date:** 05/09/2017
- **Last updated:** 01/25/2023
