Healthcare Provider Details

I. General information

NPI: 1396883815
Provider Name (Legal Business Name): ESKRA PLASTIC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1590 MEDICAL DR SUITE A
POTTSTOWN PA
19464-3247
US

IV. Provider business mailing address

1590 MEDICAL DR SUITE A
POTTSTOWN PA
19464-3247
US

V. Phone/Fax

Practice location:
  • Phone: 610-323-2230
  • Fax: 610-323-8215
Mailing address:
  • Phone: 610-323-2230
  • Fax: 610-323-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN D ESKRA
Title or Position: OWNER
Credential: M.D.
Phone: 610-323-2230