| Corelife Health Services, Inc. | |
|
579 Baltimore Annapolis Blvd Severna Park MD 21146-3809 | |
| (410) 975-5447 | |
| (888) 709-8865 |
| Full Name | Corelife Health Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 579 Baltimore Annapolis Blvd, Severna Park, Maryland |
| Authorized Official Name and Position | Stephan R Izzi (DIRECTOR) |
| Authorized Official Contact | 4109755447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corelife Health Services, Inc. 1111 Benfield Blvd Ste 250 Millersville MD 21108-3005 Ph: (443) 679-4309 | Corelife Health Services, Inc. 579 Baltimore Annapolis Blvd Severna Park MD 21146-3809 Ph: (410) 975-5447 |
| NPI Number | 1518339209 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518339209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0025782 (Maryland) | Primary |
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