# CORELIFE HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1518339209
- **Authorized official:** MR. STEPHAN R IZZI MD (DIRECTOR)
- **Authorized official phone:** (410) 975-5447

## Contact information

- **Practice address:** 579 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3809
- **Practice address phone:** (410) 975-5447
- **Practice address fax:** (888) 709-8865
- **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 | D0025782 | MD | Yes |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 10/21/2020
