| Corelife Of Delmarva Llc | |
|
200 E Vine St Ste B Salisbury MD 21804-5531 | |
| (443) 358-6239 | |
| Not Available |
| Full Name | Corelife Of Delmarva Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 E Vine St Ste B, Salisbury, Maryland |
| Authorized Official Name and Position | Raymond Kostkowski (CEO) |
| Authorized Official Contact | 4436794309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corelife Of Delmarva Llc 1111 Benfield Blvd Ste 250 Millersville MD 21108-3005 Ph: (443) 679-4309 | Corelife Of Delmarva Llc 200 E Vine St Ste B Salisbury MD 21804-5531 Ph: (443) 358-6239 |
| NPI Number | 1477063386 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477063386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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