Organization
ADVANCED SPINE AND PAIN, LLC
Active
Other names
Relievus
Organization subpart
No
Provider details
NPI number
Authorized official
DAMEAN WILLIAM FREAS (CEO)
(888) 985-2727
Entity
Organization
Contact information
Practice address
9815 ROOSEVELT BLVD STE J, PHILADELPHIA, PA 19114-1035
(888) 985-2727
(856) 779-0211
Mailing address
201 DEFENSE HWY STE 205, ANNAPOLIS, MD 21401-7096
(888) 985-2727
(856) 779-0211
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
02/06/2023
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