Provider Demographics
NPI:1306618947
Name:AMERICAN FOUNDATION FOR BIOLOGICAL RESEARCH
Entity type:Organization
Organization Name:AMERICAN FOUNDATION FOR BIOLOGICAL RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR-CSO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:MENTINK-KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-329-0412
Mailing Address - Street 1:9410 KEY WEST AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3345
Mailing Address - Country:US
Mailing Address - Phone:301-329-0412
Mailing Address - Fax:
Practice Address - Street 1:9410 KEY WEST AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3345
Practice Address - Country:US
Practice Address - Phone:301-329-0412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory