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An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1528362647 |
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| LBN Legal business name | BEACON MEDICAL GROUP, INC. | ||||||||
| Authorized official | JEFFREY COSTELLO - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/04/2011 | ||||||||
| Last updated | 02/22/2024 - About 2 years ago | ||||||||
| Identifiers |
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BEACON MEDICAL GROUP, INC.
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BEACON MEDICAL GROUP, INC.