Organization
ADVANCED SPINE AND PAIN OF PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG J LEE MD (PHYSICIAN, OWNER)
(888) 985-2727
Entity
Organization
Contact information
Practice address
2000 GRANT AVE, SUITE 103, PHILADELPHIA, PA 19115-4378
(888) 985-2727
(856) 779-0211
Mailing address
1030 KINGS HWY N, SUITE 200, CHERRY HILL, NJ 08034-1907
(888) 985-2727
(856) 779-0211
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08184600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD427900
PA
2084N0400X
Neurology Physician
MD066819L
PA
Other
Enumeration date
06/23/2014
Last updated
02/06/2015
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