# ESBENSHADE MEDICAL CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063649283
- **Authorized official:** SUSAN SLACK (MEDICAL BILLER)
- **Authorized official phone:** (215) 348-2335

## Contact information

- **Practice address:** 2615 CRABAPPLE CIR, PERKASIE, PA 18944-5460
- **Practice address phone:** (215) 703-3751
- **Practice address fax:** (215) 703-3744
- **Mailing address:** 2615 CRABAPPLE CIR, PERKASIE, PA 18944-5460
- **Mailing address phone:** (215) 703-3751
- **Mailing address fax:** (215) 703-3744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | MD069937L | PA | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009