| NPI | 1467408237 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP CRITICAL KIDS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-04-24 |