Organization
CORELIFE OF DELMARVA LLC
Active
Other names
CoreLife
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND KOSTKOWSKI (CEO)
(443) 679-4309
Entity
Organization
Contact information
Practice address
200 E VINE ST STE B, SALISBURY, MD 21804-5531
(443) 358-6239
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
10/05/2017
Last updated
03/31/2021
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