| NPI | 1992756696 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP PEDIATRIC HEMATOLOGY ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 02001713A) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-03-04 |