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Organization

ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC

Active
Other names
All Star Pain Management and Regenerative Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN SULLIVAN (PRACTICE MANAGER)
(443) 808-1810
Entity
Organization

Contact information

Practice address
166 DEFENSE HWY STE 300, ANNAPOLIS, MD 21401-8926
(443) 808-1808
(443) 214-5356
Mailing address
166 DEFENSE HWY STE 300, ANNAPOLIS, MD 21401-8926
(443) 808-1808
(443) 214-5356

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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