# ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Star Pain Management and Regenerative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669290219
- **Authorized official:** CARMEN GREY (PRACTICE MANAGER)
- **Authorized official phone:** (443) 808-1810

## Contact information

- **Practice address:** 4201 NORTHVIEW DR STE 502, BOWIE, MD 20716-2673
- **Practice address phone:** (443) 808-1808
- **Practice address fax:** (443) 214-5356
- **Mailing address:** 166 DEFENSE HWY STE 300, ANNAPOLIS, MD 21401-8926
- **Mailing address phone:** (443) 808-1808
- **Mailing address fax:** (443) 214-5356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 08/06/2026