BEACON MEDICAL GROUP, INC.

SOUTH BEND, IN
NPI1124423546
Entity TypeOrganization
Authorized ContactJEFFREY P. COSTELLO
CFO
574-647-3549
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
Enumeration Date2014-10-28
Last Update Date2017-10-12
Business Address
BEACON MEDICAL GROUP, INC.
100 NAVARRE PL STE 4400
SOUTH BEND, IN 46601-1100
Phone number: 574-647-1972
Mailing Address
BEACON MEDICAL GROUP, INC.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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