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Contact Information

KENNETH B BRISKIN, MD
2112 PROVIDENCE AVENUE
CHESTER, PA19013
 Phone: 610-874-5366
 Fax: 610-874-8448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KENNETH B BRISKIN · (Male)

NPI # 1770664419
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 01/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD061342L
  • PA Other 0284044000 IBC HMO
  • PA Other 000814002 IBC PPO
Hospital affiliation(s)
  • CROZER CHESTER MEDICAL CENTER - (Acute Care)
    ONE MEDICAL CENTER BOULEVARD
    UPLAND, PA 19013
  • RIDDLE MEMORIAL HOSPITAL - (Acute Care)
    1068 WEST BALTIMORE PIKE
    MEDIA, PA 19063
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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