Provider Demographics
NPI:1275083461
Name:ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
Entity Type:Organization
Organization Name:ALL STAR PAIN MANAGEMENT AND REGENERATIVE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZVEZDOMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMFIROV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-207-1298
Mailing Address - Street 1:166 DEFENSE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-8926
Mailing Address - Country:US
Mailing Address - Phone:443-808-1808
Mailing Address - Fax:443-214-5356
Practice Address - Street 1:1600 CRAIN HWY S STE 207
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6438
Practice Address - Country:US
Practice Address - Phone:443-808-1808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00648062081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty