# ADVANCED SPINE AND PAIN PLLC

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

## Provider details

- **NPI number:** 1609498179
- **Authorized official:** DR. THOMAS J RALEY (OWNER)
- **Authorized official phone:** (703) 522-2727

## Contact information

- **Practice address:** 3500 BOSTON ST STE J2, BALTIMORE, MD 21224-5251
- **Practice address phone:** (703) 522-2727
- **Mailing address:** 450 GARRISONVILLE RD STE 109, STAFFORD, VA 22554-1615
- **Mailing address phone:** (703) 522-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2020
- **Last updated:** 05/07/2020