Organization · Type 2 NPI
Healthy Aging Clinic
Adult Medicine Physician · Milford, DE
NPI number
1104171206
Active
Practice location
1014 North Walnut Street
Milford, DE 19963-1244
Fax (302) 424-8018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1104171206
Healthy Aging Clinic's National Provider Identifier is 1104171206, issued on Jul 16, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Milford, DE. The record was last updated on Jul 16, 2012.