# ADVANCED SPINE AND PAIN OF PA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477968014
- **Authorized official:** DR. YOUNG J LEE MD (PHYSICIAN, OWNER)
- **Authorized official phone:** (888) 985-2727

## Contact information

- **Practice address:** 2000 GRANT AVE, SUITE 103, PHILADELPHIA, PA 19115-4378
- **Practice address phone:** (888) 985-2727
- **Practice address fax:** (856) 779-0211
- **Mailing address:** 1030 KINGS HWY N, SUITE 200, CHERRY HILL, NJ 08034-1907
- **Mailing address phone:** (888) 985-2727
- **Mailing address fax:** (856) 779-0211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA08184600 | NJ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD427900 | PA | Yes |
| 2084N0400X | Neurology Physician | MD066819L | PA | — |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 02/06/2015