Modern Spine And Pain Pc

LBN: Modern Spine And Pain Pc
Modern Spine And Pain Pc is an health care organization with primary practice located at 196 Grove Ave Ste E , West Deptford NJ 08086-2139. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Modern Spine And Pain Pc can be contacted via phone (856) 900-0041, or through Ricca, Amanda L via phone (215) 651-8180.

Contact Information

Primary practice address
196 Grove Ave Ste E West Deptford NJ 08086-2139
Phone: (856) 900-0041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ricca, Amanda L
Phone: (215) 651-8180

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1174240352
LBN Legal business name Modern Spine And Pain Pc
DBA Doing business as
Authorized official Ricca, Amanda L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2022
Last updated Feb 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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