| NPI | 1780859157 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP ADVANCED CARDIOLOGY SPECIALISTS SOUTH BEND |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P COSTELLO VP/CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01045628A) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-04-24 |