Organization
BARIATRIC ENDOSCOPY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN KUMAR MD (PHYSICIAN)
(314) 332-4224
Entity
Organization
Contact information
Practice address
400 BROOKLINE AVE, 12C, BOSTON, MA 02215-5408
(314) 332-4224
Mailing address
400 BROOKLINE AVE, 12C, BOSTON, MA 02215-5408
(314) 332-4224
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036134693
IL
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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