Provider Demographics
NPI:1912190547
Name:AFOLABI-BROWN, OLUFUNKE OLUDOLAPO (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUFUNKE
Middle Name:OLUDOLAPO
Last Name:AFOLABI-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3959 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2900
Mailing Address - Country:US
Mailing Address - Phone:410-370-4740
Mailing Address - Fax:215-258-8577
Practice Address - Street 1:909 SUMNEYTOWN PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477
Practice Address - Country:US
Practice Address - Phone:410-370-4740
Practice Address - Fax:215-258-8577
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4422112080P0214X
PAMD442112080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029396230001Medicaid
PA1029396230005Medicaid