Organization · NPI-2
Naspac-Nj PLLC
Anesthesiology, Pain Medicine · Willow Grove, PA
NPI number1972151207
StatusActive
Last updated in NPPESApr 1, 2026
Details
- NPI
- 1972151207
- Entity type
- Organization (NPI-2)
- Legal business name
- Naspac-Nj PLLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2019
- Certification date
- Apr 1, 2026
- Last updated
- Apr 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
2325 Maryland Rd Ste 100Willow Grove, PA 19090-1758
Phone 215-657-1315 · Fax 215-659-8964
Mailing address
404 Creek Crossing Blvd Ste 404Hainesport, NJ 08036-2768
Phone 609-845-3988 · Fax 609-288-6078
Authorized official
Renee Bogdol
Director Revenue Cycle
6098453988
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