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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 |
| NPI Number | 1780859157 |
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| LBN Legal business name | BEACON MEDICAL GROUP, INC. | ||||||||||||
| Authorized official | JEFFREY COSTELLO - (VP/CFO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/28/2008 | ||||||||||||
| Last updated | 04/24/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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| BEACON MEDICAL GROUP, INC. 6913 N MAIN ST STE 100 GRANGER, IN |
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BEACON MEDICAL GROUP, INC.