BEACON MEDICAL GROUP, INC.

ELKHART, IN
NPI1114262078
Entity TypeOrganization
Authorized ContactJEFFREY P COSTELLO
CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2012-12-04
Last Update Date2023-04-24
Business Address
BEACON MEDICAL GROUP, INC.
1506 OSOLO RD STE C
ELKHART, IN 46514-4122
Phone number: 574-266-6050
Mailing Address
BEACON MEDICAL GROUP, INC.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-266-6050
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