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Organization

HEALTHY AGING CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EUGENE E. GODFREY D.O. (PHYSICIAN)
(302) 422-5700
Entity
Organization

Contact information

Practice address
1014 NORTH WALNUT STREET, MILFORD, DE 19963-1244
(302) 422-5700
(302) 424-8018
Mailing address
1014 NORTH WALNUT STREET, MILFORD, DE 19963-1244
(302) 422-5700
(302) 424-8018

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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