# CORELIFE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073003745
- **Authorized official:** RAYMOND KOSTKOWSKI (CEO)
- **Authorized official phone:** (410) 991-0044

## Contact information

- **Practice address:** 3829 LORNA RD STE 312, HOOVER, AL 35244-7058
- **Practice address phone:** (205) 710-2368
- **Mailing address:** 1111 BENFIELD BLVD STE 250, MILLERSVILLE, MD 21108-3005
- **Mailing address phone:** (443) 679-4309
- **Mailing address fax:** (855) 772-4748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 03/31/2021