# BARIATRIC ENDOSCOPY INSTITUTE LLC

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

## Provider details

- **NPI number:** 1730505298
- **Authorized official:** NITIN KUMAR MD (PHYSICIAN)
- **Authorized official phone:** (314) 332-4224

## Contact information

- **Practice address:** 400 BROOKLINE AVE, 12C, BOSTON, MA 02215-5408
- **Practice address phone:** (314) 332-4224
- **Mailing address:** 400 BROOKLINE AVE, 12C, BOSTON, MA 02215-5408
- **Mailing address phone:** (314) 332-4224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 036134693 | IL | Yes |

## Other

- **Enumeration date:** 03/07/2014
- **Last updated:** 03/07/2014