Provider Demographics
NPI:1275767105
Name:FUNKE, BIRGIT (PHD, FACMG)
Entity Type:Individual
Prefix:DR
First Name:BIRGIT
Middle Name:
Last Name:FUNKE
Suffix:
Gender:F
Credentials:PHD, FACMG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 LANDSDOWNE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4232
Mailing Address - Country:US
Mailing Address - Phone:617-768-6467
Mailing Address - Fax:
Practice Address - Street 1:65 LANDSDOWNE ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4232
Practice Address - Country:US
Practice Address - Phone:617-768-6467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics