OrganizationActive
Advanced Spine and Pain, LLC
NPI 1104352335 · Non-Pharmacy Dispensing Site · Hammonton, NJ
Provider details
- NPI number
- 1104352335
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Authorized official
- Damean Freas, Ceo
- License
- 25MA09802600 (NJ)
Practice location
2 8th St
Hammonton, NJ 08037-3347
Phone: (888) 985-2727
Fax: (484) 212-7641
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Registry dates
- Enumerated
- 2017-05-09
- Last updated
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.