Advanced Spine and Pain of PA, LLC
Advanced Spine and Pain of PA, LLC provides Pain Medicine (Anesthesiology) Physician services in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- NJ, PA
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2000 Grant Ave Ste 103Philadelphia, PA 19115-4378 Not confirmed with CMS for 11 years — call before visiting
Phone: (888) 985-2727
Fax: (856) 779-0211
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Anesthesiology) Physician (primary) | Taxonomy 207LP2900X · Licence MD427900 (PA) |
|---|---|
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X · Licence 25MA08184600 (NJ) |
| Neurology Physician | Taxonomy 2084N0400X · Licence MD066819L (PA) |
Record details
| NPI number | 1477968014 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Young Lee — Physician, Owner · (888) 985-2727 |
| NPI enumerated | June 23, 2014 |
| Last updated in NPPES | February 6, 2015 |
| Mailing address | 1030 Kings Hwy N, Suite 200, Cherry Hill, NJ 08034-1907 |
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Az Anesthesia, PC
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Dimitry Y Baranov, MD
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Dr. Abiona Virginia Berkeley, MD
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