Aeg Pennsylvania Professional, INC
NPI #1104238088 in Sewickley, Pennsylvania
Provider Information
- NPI Number
- 1104238088
- 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
- May 27, 2014
- Last Updated
- Nov 14, 2023
Practice Location
- Address
- 411 BEAVER ST
- City
- Sewickley
- State
- Pennsylvania
- ZIP Code
- 15143
- Phone
- (412) 422-5300
Authorized Official
- Name
- BENJAMIN CHUDNER
- Title
- OWNER
- Phone
- (618) 462-9818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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