Provider profile · NPI 1477968014
Advanced Spine And Pain Of Pa, Llc
Anesthesiology, Pain Medicine · Philadelphia, PA · NPI 1477968014 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Jun 23, 2014
License(s)
25MA08184600 (NJ), MD066819L (PA), MD427900 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1030 KINGS HWY N SUITE 200 | Cherry Hill, NJ 08034-1907 | 888-985-2727 |
| LOCATION | 2000 GRANT AVE SUITE 103 | Philadelphia, PA 19115-4378 | 888-985-2727 |
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