All Star Pain Management And Regenerative Medicine, LLC
Physical Medicine & Rehabilitation, Pain Medicine in Annapolis, MD. Organization (NPI-2).
NPI number1104644657
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1104644657
- Entity type
- Organization (NPI-2)
- Legal business name
- All Star Pain Management And Regenerative Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2024
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Other names
- All Star Pain Management And Regenerative Medicine (Doing Business As)
Practice location
166 Defense Hwy Ste 300Annapolis, MD 21401-8926
Phone 443-808-1808 · Fax 443-214-5356
Mailing address
166 Defense Hwy Ste 300Annapolis, MD 21401-8926
Phone 443-808-1808 · Fax 443-214-5356
Authorized official
Carmen Grey
Practice Manager
4438081810
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