Healthcare Provider Details

I. General information

NPI: 1619911252
Provider Name (Legal Business Name): KENNETH SPENCER BRESLIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 TOWN CENTER DR
LANGHORNE PA
19047-1748
US

IV. Provider business mailing address

301 OXFORD VALLEY RD SUITE 701
YARDLEY PA
19067-7706
US

V. Phone/Fax

Practice location:
  • Phone: 215-321-7221
  • Fax: 215-321-9109
Mailing address:
  • Phone: 215-321-7221
  • Fax: 215-321-9109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD042263E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: