# STARBOARD MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548066590
- **Authorized official:** MICHAEL FRIEDMAN (PRESIDENT)
- **Authorized official phone:** (201) 805-5595

## Contact information

- **Practice address:** 603 SALEM ST STE 3, WAKEFIELD, MA 01880-1227
- **Practice address phone:** (781) 245-6334
- **Mailing address:** 152 BELLEVUE RD, WATERTOWN, MA 02472-3375
- **Mailing address phone:** (201) 805-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2025
- **Last updated:** 02/20/2025