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Contact Information

AEG PENNSYLVANIA PROFESSIONAL, INC
93 W DEVON DR STE 101
EXTON, PA19341-3008
 Phone: 610-363-8960
 Fax: 314-741-4947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AEG PENNSYLVANIA PROFESSIONAL, INC

NPI Number 1225803869
LBN Legal business name AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official BENJAMIN CHUDNER - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/22/2023
Last updated 11/22/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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