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Organization
NASPAC1 LLC
Active
Organization
NASPAC1 LLC
Active
Other names
North american spine and pain consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE BOGDOL (OFFICE MANAGER)
(609) 845-3988
Entity
Organization
Contact information
Practice address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
Mailing address
404 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2768
(609) 845-3988
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
03/04/2014
Last updated
01/04/2024
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