Provider Demographics
NPI:1841919297
Name:360 HEALTHCARE LLC
Entity type:Organization
Organization Name:360 HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-547-1038
Mailing Address - Street 1:67 S BEDFORD ST STE 400W
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5177
Mailing Address - Country:US
Mailing Address - Phone:781-488-6843
Mailing Address - Fax:
Practice Address - Street 1:67 S BEDFORD ST STE 400W
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5177
Practice Address - Country:US
Practice Address - Phone:781-488-6843
Practice Address - Fax:781-488-6837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty