Aeg Pennsylvania Professional, INC

NPI #1225371255 in Warrendale, Pennsylvania

Provider Information

NPI Number: 1225371255
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: Mar 28, 2013
Last Updated: Nov 14, 2023

Practice Location

Address: 802A WARRENDALE VILLAGE DRIVE
Address 2: 2ND FLOOR
City: Warrendale
State: Pennsylvania
ZIP Code: 15086
Phone: (724) 772-2222

Authorized Official

Name: BENJAMIN CHUDNER
Title: OWNER
Phone: (360) 620-1186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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