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Organization

AEG MARYLAND PROFESSIONAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA K ALLISON (SR. DIRECTOR RCM/MVC)
(618) 462-9818
Entity
Organization

Contact information

Practice address
18310 MONTGOMERY VILLAGE AVE STE 140, GAITHERSBURG, MD 20879-3556
(301) 869-4070
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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