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NPI Profile for BEACON MEDICAL GROUP INC in SOUTH BEND, IN.
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine |
| NPI # | 1770775009 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/10/2007 | |
| Last updated | 04/28/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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BEACON MEDICAL GROUP, INC.
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BEACON MEDICAL GROUP, INC.