Organization
CORELIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND KOSTKOWSKI (CEO)
(410) 991-0044
Entity
Organization
Contact information
Practice address
3829 LORNA RD STE 312, HOOVER, AL 35244-7058
(205) 710-2368
Mailing address
1111 BENFIELD BLVD STE 250, MILLERSVILLE, MD 21108-3005
(443) 679-4309
(855) 772-4748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
03/31/2021
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