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Contact Information

AEG PENNSYLVANIA PROFESSIONAL, INC
710 FLORAL VALE BLVD
YARDLEY, PA19067-5529
 Phone: 215-550-6273
 Fax:
 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 1316711047
LBN Legal business name AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official BENJAMIN CHUDNER - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/13/2023
Last updated 11/13/2023 - 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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