OrganizationActive
All Star Pain Management and Regenerative Medicine, LLC
NPI 1669290219 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Bowie, MD
Provider details
- NPI number
- 1669290219
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Sullivan, Practice Manager(443) 808-1810
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4201 Northview Dr Ste 502
Bowie, MD 20716-2673
Phone: (443) 808-1808
Fax: (443) 214-5356
Approximate (ZIP-level) locationGet directions
Mailing address
166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Other names (DBA / former)
- Doing business as
- All Star Pain Management and Regenerative Medicine
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2024-10-02
- Certified
- 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.