Provider Demographics
NPI:1457301475
Name:SYED A SUBZPOSH, MD, PC
Entity Type:Organization
Organization Name:SYED A SUBZPOSH, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUBZPOSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-821-2810
Mailing Address - Street 1:451 W CHEW ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-3472
Mailing Address - Country:US
Mailing Address - Phone:610-821-2810
Mailing Address - Fax:610-821-6952
Practice Address - Street 1:451 W CHEW ST
Practice Address - Street 2:SUITE 302
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3472
Practice Address - Country:US
Practice Address - Phone:610-821-2810
Practice Address - Fax:610-821-6952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1497750467OtherNPI-INDIVIDUAL
PA1497750467OtherNPI-INDIVIDUAL