Organization
NASPAC NJ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BOGDOL (DIRECTOR REVENUE CYCLE)
(609) 845-3988
Entity
Organization
Contact information
Practice address
100 PRESIDENTIAL BLVD STE 300, BALA CYNWYD, PA 19004-1108
(484) 436-2123
(484) 436-2338
Mailing address
100 PRESIDENTIAL BLVD STE 300, BALA CYNWYD, PA 19004-1108
(484) 436-2123
(484) 436-2338
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
06/25/2021
Last updated
04/14/2026
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