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Organization

ADVANCED SPINE AND PAIN LLC

Active
Other names
Relievus
Organization subpart
No

Provider details

NPI number
Authorized official
DAMEAN WILLIAM FREAS DO (CEO)
(888) 985-2727
Entity
Organization

Contact information

Practice address
415 W LANDIS AVE STE 102, VINELAND, NJ 08360-8135
(888) 985-2727
Mailing address
201 DEFENSE HWY STE 260, ANNAPOLIS, MD 21401-7096
(888) 985-2727
(856) 779-0211

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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