OrganizationActive
Healthy Aging Clinic
NPI 1104171206 · Adult Medicine Physician · Milford, DE
Provider details
- NPI number
- 1104171206
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Eugene Godfrey, Physician
Practice location
1014 North Walnut Street
Milford, DE 19963-1244
Phone: (302) 422-5700
Fax: (302) 424-8018
Mailing address
1014 North Walnut Street
Milford, DE 19963-1244
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2012-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.