BEACON MEDICAL GROUP, INC.

SOUTH BEND, IN
NPI1821482431
Doing Business AsBMG WOMEN'S SURGICAL GYN/ONC @ MRCC
Entity TypeOrganization
Authorized ContactJEFFREY P. COSTELLO
CFO
574-647-3549
Organization Subpart ?Yes
Primary Taxonomy207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
Enumeration Date2015-03-20
Last Update Date2023-04-28
Business Address
BEACON MEDICAL GROUP, INC.
100 NAVARRE PL STE 4470
SOUTH BEND, IN 46601-1168
Phone number: 574-647-4230
Mailing Address
BEACON MEDICAL GROUP, INC.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610