Organization
AEG VIRGINIA PROFESSIONAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CHUDNER OD (OWNER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
2101 CARL D SILVER PKWY, FREDERICKSBURG, VA 22401-5085
(540) 373-3021
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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