Healthcare Provider Details

I. General information

NPI: 1982400941
Provider Name (Legal Business Name): RHUMB LINE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WASHINGTON ST STE 104
PLAINVILLE MA
02762-2155
US

IV. Provider business mailing address

152 BELLEVUE RD
WATERTOWN MA
02472-3375
US

V. Phone/Fax

Practice location:
  • Phone: 508-699-2222
  • Fax:
Mailing address:
  • Phone: 201-805-5595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL FRIEDMAN
Title or Position: PRESIDENT
Credential:
Phone: 201-805-5595