Provider Demographics
NPI:1669896361
Name:BRESLIN, JOSEPH ALOYSIUS JR (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALOYSIUS
Last Name:BRESLIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 WHEATLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4750
Mailing Address - Country:US
Mailing Address - Phone:717-299-9853
Mailing Address - Fax:
Practice Address - Street 1:1280 WHEATLAND AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4750
Practice Address - Country:US
Practice Address - Phone:717-299-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-15
Last Update Date:2014-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-020616-E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology