Healthcare Provider Details

I. General information

NPI: 1346121795
Provider Name (Legal Business Name): 360HC SPECIALTY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MALL RD STE 301
BURLINGTON MA
01803-4131
US

IV. Provider business mailing address

10 MALL RD STE 301
BURLINGTON MA
01803-4131
US

V. Phone/Fax

Practice location:
  • Phone: 781-488-6843
  • Fax: 781-488-6837
Mailing address:
  • Phone: 781-488-6843
  • Fax: 781-488-6837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: FAISAL MALIK
Title or Position: OWNER
Credential: MD
Phone: 781-547-1038