# BEALE BARIATRICS, LLC

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

## Provider details

- **NPI number:** 1609009166
- **Authorized official:** MS. LISA M BEALE (OWNER)
- **Authorized official phone:** (202) 463-7872

## Contact information

- **Practice address:** 1712 I ST NW, SUITE 604, WASHINGTON, DC 20006-3702
- **Practice address phone:** (202) 463-7872
- **Practice address fax:** (202) 478-0686
- **Mailing address:** 1712 I ST NW, SUITE 604, WASHINGTON, DC 20006-3702
- **Mailing address phone:** (202) 463-7872
- **Mailing address fax:** (202) 478-0686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | MD25461 | DC | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 09/01/2009