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Organization
ADVANCED SPINE AND PAIN PLLC
Active
Organization
ADVANCED SPINE AND PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J RALEY (OWNER)
(703) 522-2727
Entity
Organization
Contact information
Practice address
3500 BOSTON ST STE J2, BALTIMORE, MD 21224-5251
(703) 522-2727
Mailing address
450 GARRISONVILLE RD STE 109, STAFFORD, VA 22554-1615
(703) 522-2727
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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