Healthcare Provider Details

I. General information

NPI: 1184862468
Provider Name (Legal Business Name): AFREEN SUBZPOSH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 DELAWARE AVE
FOUNTAIN HILL PA
18015-1104
US

IV. Provider business mailing address

801 OSTRUM ST ENROLLMENTS
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 610-654-3060
  • Fax:
Mailing address:
  • Phone: 610-954-3060
  • Fax: 610-954-6500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD436017
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: