OrganizationActive
All Star Pain Management and Regenerative Medicine, LLC
NPI 1104644657 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Annapolis, MD
Provider details
- NPI number
- 1104644657
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kristin Sullivan, Practice Manager
Practice location
166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone: (443) 808-1808
Fax: (443) 214-5356
Mailing address
166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2024-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.