Aeg Pennsylvania Professional, INC

NPI #1528833167 in West Chester, Pennsylvania

Provider Information

NPI Number: 1528833167
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: 1450 E BOOT RD STE 700B
City: West Chester
State: Pennsylvania
ZIP Code: 19380-5942
Phone: (610) 696-1368

Authorized Official

Name: BENJAMIN CHUDNER
Title: PRESIDENT
Phone: (314) 741-4947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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