Organization
CORELIFE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHAN R IZZI MD (DIRECTOR)
(410) 975-5447
Entity
Organization
Contact information
Practice address
579 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3809
(410) 975-5447
(888) 709-8865
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
D0025782
MD
Other
Enumeration date
10/21/2015
Last updated
10/21/2020
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