Beacon Medical Group, Inc.

NPI #1487061131 in Lagrange, Indiana

Provider Information

NPI Number
1487061131
Entity Type
Organization
Organization Name
Beacon Medical Group, Inc.
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jul 15, 2014
Last Updated
Aug 30, 2016

Practice Location

Address
2400 N VENTURA WAY
State
Indiana
ZIP Code
46761-4101
Phone
(574) 524-7123

Authorized Official

Name
JEFFREY P COSTELLO
Title
CFO
Phone
(574) 647-3549

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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