Aeg Pennsylvania Professional, INC

NPI #1225803869 in Exton, Pennsylvania

Provider Information

NPI Number: 1225803869
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: Nov 22, 2023
Last Updated: Nov 22, 2023

Practice Location

Address: 93 W DEVON DR STE 101
City: Exton
State: Pennsylvania
ZIP Code: 19341-3008
Phone: (610) 363-8960

Authorized Official

Name: BENJAMIN CHUDNER, OD
Title: PRESIDENT
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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