HEALTHY AGING CLINIC; NPI #1104171206

Contact Information

HEALTHY AGING CLINIC

1014 NORTH WALNUT STREET
MILFORD, DE 19963-1244

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

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NPI Profile & details for HEALTHY AGING CLINIC

NPI #	`1104171206`
LBN Legal business name	HEALTHY AGING CLINIC
Authorized official	EUGENE GODFREY - (PHYSICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/16/2012
Last updated	07/16/2012 - About 14 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HEALTHY AGING CLINIC

Contact Information

Specialty

Adult Medicine

NPI Profile & details for HEALTHY AGING CLINIC

Reviews for HEALTHY AGING CLINIC