OrganizationActive
Advanced Spine and Pain of PA, LLC
NPI 1477968014 · Pain Medicine (Anesthesiology) Physician · Philadelphia, PA
Provider details
- NPI number
- 1477968014
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Young Lee, Physician, Owner
- License
- 25MA08184600 (NJ)
Practice location
2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378
Phone: (888) 985-2727
Fax: (856) 779-0211
Mailing address
1030 Kings Hwy N
Cherry Hill, NJ 08034-1907
Registry dates
- Enumerated
- 2014-06-23
- Last updated
- 2015-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.