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HEALTHY AGING CLINIC
NPI 1104171206
Family Medicine - Adult Medicine in Milford, DE

Active since July 16, 2012
1014 NORTH WALNUT STREET, MILFORD, DE 19963(302) 422-5700(302) 424-8018 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Healthy Aging Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY AGING CLINIC (NPI 1104171206) is a healthcare organization registered as an adult medicine in Milford, Delaware and active in the NPI registry since July 2012. The organization lists Eugene E. Godfrey, Physician, as its authorized official.

NPPES Registry Identity

NPI1104171206
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameHEALTHY AGING CLINIC
Location Address1014 NORTH WALNUT STREETMilford, DE 19963-1244
Mailing Address1014 North Walnut StreetMilford, DE 19963-1244 · (302) 422-5700 · Fax (302) 424-8018
Phone(302) 422-5700
Fax(302) 424-8018
Organization SubpartNo
Authorized OfficialEugene E. GodfreyPhysician · (302) 422-5700
Enumeration DateJuly 16, 2012
✔ NPI 1104171206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1014 NORTH WALNUT STREET, Milford, DE 19963
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Other Identifiers 1

Medicare UPINC48536

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Aging Clinic's NPI number?

The NPI number for Healthy Aging Clinic is 1104171206. It was assigned to this organization in the NPPES registry on July 16, 2012.

Where is Healthy Aging Clinic located?

Healthy Aging Clinic is located at 1014 North Walnut Street, Milford, DE 19963. The listed phone number is (302) 422-5700.

What is Healthy Aging Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Healthy Aging Clinic was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.