Organization
ADVANCED SPINE AND PAIN, LLC
Active
Other names
Relievus
Organization subpart
No
Provider details
NPI number
Authorized official
DAMEAN WILLIAM FREAS (CEO)
(410) 571-2946
Entity
Organization
Contact information
Practice address
2 8TH ST, HAMMONTON, NJ 08037-3347
(888) 985-2727
(484) 212-7641
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(443) 221-4396
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA09802600
NJ
Other
Enumeration date
05/09/2017
Last updated
01/25/2023
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