Aeg Pennsylvania Professional, INC

NPI #1063249910 in Chambersburg, Pennsylvania

Provider Information

NPI Number: 1063249910
Entity Type: Organization
Organization Name: Aeg Pennsylvania Professional, INC
Subpart: Yes (part of a larger organization)
Parent Organization: AEG PENNSYLVANIA PROFESSIONAL, INC
Primary Specialty: Optometrist
Enumeration Date: Sep 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 422 PHOENIX DR
City: Chambersburg
State: Pennsylvania
ZIP Code: 17201-4537
Phone: (717) 470-7496

Authorized Official

Name: MELISSA ALLISON
Title: SR. DIRECTOR OF RCM
Phone: (314) 741-8183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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