Provider Demographics
NPI:1477816460
Name:MAX-DELBRUECK-CENTER FOR MOLECULAR MEDICINE (MDC)
Entity type:Organization
Organization Name:MAX-DELBRUECK-CENTER FOR MOLECULAR MEDICINE (MDC)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SCIENCE ADMINISTRATION & STRATEGY O
Authorized Official - Prefix:DR
Authorized Official - First Name:IWAN
Authorized Official - Middle Name:CHRISTIAAN
Authorized Official - Last Name:MEIJ
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:0049309-406-4225
Mailing Address - Street 1:ROBERT ROESSLESTRASSE 10
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:BERLIN
Mailing Address - Zip Code:13125
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ROBERT ROESSLESTRASSE 10
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:BERLIN
Practice Address - Zip Code:13125
Practice Address - Country:DE
Practice Address - Phone:00499-406-4225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory