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Contact Information

HEALTHY AGING CLINIC
1014 NORTH WALNUT STREET
MILFORD, DE19963-1244
 Phone: 302-422-5700
 Fax: 302-424-8018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEALTHY AGING CLINIC · (Female)

NPI # 1104171206
Status Active
Credentials
Entity Individual
Enumeration date 07/16/2012
Last updated 07/16/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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