Organization · NPI-2

All Star Pain Management And Regenerative Medicine, LLC

Physical Medicine & Rehabilitation, Pain Medicine · Bowie, MD

NPI number1669290219
StatusActive
Last updated in NPPESAug 6, 2026

Details

NPI
1669290219
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 codeDescriptionLicenseStatePrimary
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine––Yes

Other names

  • All Star Pain Management And Regenerative Medicine (Doing Business As)

Practice location

4201 Northview Dr Ste 502
Bowie, MD 20716-2673

Phone 443-808-1808 · Fax 443-214-5356

Mailing address

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926

Phone 443-808-1808 · Fax 443-214-5356

Authorized official

Carmen Grey
Practice Manager
4438081810

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