BEACON MEDICAL GROUP INC. NPI 1992756696

NPI Information

BEACON MEDICAL GROUP, INC. is a pediatric hematology-oncology pediatrics in South Bend, IN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. BEACON MEDICAL GROUP, INC. NPI is 1992756696. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Beacon Medical Group Pediatric Hematology Oncology.

The provider's business location address is:

615 N MICHIGAN ST 4TH FL
SOUTH BEND, IN
ZIP 46601-033
Phone: (574) 647-6892
Fax: (574) 647-6895

The provider's authorized official is Jeffrey Costello .
The authorized official title is Cfo and has the following contact phone number (574) 647-3549.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/4/2024.

Taxonomy Codes

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